Individual
DR. PATRICIA L. GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
850 MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-7015
Mailing address
850 MAPLE STREET, P.O. BOX 800, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-7015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8388266
—
WA
Enumeration date
11/18/2005
Last updated
01/29/2015
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