Individual
DR. THOMAS KIMBALL BRASTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 909-5036
Mailing address
1600 E OLIVE ST, SEATTLE, WA 98122-2735
(206) 909-5036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60115389
WA
103TB0200X
Cognitive & Behavioral Psychologist
PY60115389
WA
103TC0700X
Clinical Psychologist
Primary
PY.60115389
WA
Other
Enumeration date
12/03/2010
Last updated
03/26/2013
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