Organization
CENTER FOR CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP DUNBAR-MAYER PSYD (OWNER)
(425) 877-3484
Entity
Organization
Contact information
Practice address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5364
(425) 877-3484
Mailing address
PO BOX 66, ISSAQUAH, WA 98027-0004
(425) 877-3484
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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