Individual
DAVID BRADLEY DEWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 403-1685
Mailing address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 403-1685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY 60073200
WA
103TC1900X
Counseling Psychologist
PY 60073200
WA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY 60073200
WA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
PY 60073200
WA
Other
Enumeration date
07/09/2009
Last updated
11/10/2014
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