Organization
COGWHEEL CLINIC FOR NEURODEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELA FERDICO PSY.D. (CLINICAL DIRECTOR)
(425) 748-7000
Entity
Organization
Contact information
Practice address
2101 112TH AVE NE, SUITE 100, BELLEVUE, WA 98004-2944
(425) 748-7000
Mailing address
2101 112TH AVE NE, SUITE 100, BELLEVUE, WA 98004-2944
(425) 748-7000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY00002463
WA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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