Individual
DR. BENJAMIN G DANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4105 E MADISON ST, SUITE 222, SEATTLE, WA 98112-3291
(206) 325-7774
Mailing address
PO BOX 1119, EDMONDS, WA 98020-1119
(206) 325-7774
(425) 771-0674
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA0071
REGENCE PROVIDER #
WA
Enumeration date
07/17/2006
Last updated
07/08/2007
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