Individual
MICHAEL LAWRENCE VITULANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4800 SAND POINT WAY NE, PSYCHIATRY DEPARTMENT, SEATTLE, WA 98105-3901
(206) 987-2164
Mailing address
4800 SAND POINT WAY NE, PSYCHIATRY DEPARTMENT, SEATTLE, WA 98105-3901
(206) 987-2164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
60607324
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
09/01/2010
Last updated
11/26/2016
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