Individual
DR. ALEX J. SCHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
307 S 13TH ST, MOUNT VERNON, WA 98274-4100
(360) 848-8500
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(360) 848-8500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8163
MA
103TC0700X
Clinical Psychologist
Primary
60016354
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06264
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
08/01/2006
Last updated
02/23/2015
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