Individual
JOHN A. DENINNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7500 212TH ST SW, STE 105A, EDMONDS, WA 98026-7614
(206) 363-4205
Mailing address
7500 212TH ST SW, STE 105A, EDMONDS, WA 98026-7614
(206) 363-4205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7096407
—
WA
Enumeration date
01/11/2007
Last updated
12/10/2016
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