Organization
GARY VANDALFSEN, PHD, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLEN VANDALFSEN PH.D. (PRESIDENT)
(425) 822-0242
Entity
Organization
Contact information
Practice address
11808 NORTHUP WAY, SUITE W-150, BELLEVUE, WA 98005-1936
(425) 822-0242
Mailing address
11808 NORTHUP WAY, SUITE W-150, BELLEVUE, WA 98005-1936
(425) 822-0242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001869
WA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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