Individual
MR. ERIC STEPHEN JANNAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
5909 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 475-6021
(253) 472-1296
Mailing address
5909 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 475-6021
(253) 472-1296
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 60107811
WA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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