Individual
GREGORY WAYNE THEURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6715 GREENWOOD AVE N, SEATTLE, WA 98103-5225
(204) 718-6869
Mailing address
6715 GREENWOOD AVE N, SEATTLE, WA 98103-5225
(204) 718-6869
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY00001822
WA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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