Individual
DR. CHRISTOPHER ROBERT DECOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60948171
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447613500
—
WA
Enumeration date
04/05/2016
Last updated
06/10/2019
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