Individual
DR. BRYAN KEITH ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00002935
WA
103TC0700X
Clinical Psychologist
PY2935
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181503
LABOR AND INDUSTRIES
WA
01
—
PY2935
STATE LICENSE #
WA
Enumeration date
06/23/2006
Last updated
08/16/2021
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