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Individual

DR. BRIAN L IMBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST, LMHC

Contact information

Practice address
11522 NE 21ST ST STE 100, BELLEVUE, WA 98004-3025
(206) 456-5450
Mailing address
6688 WATERTON CIR, MUKILTEO, WA 98275-4805
(425) 563-3099

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61027314
WA
103TC0700X
Clinical Psychologist
Primary
PSY32640
CA
246ZE0500X
EEG Specialist/Technologist
LH61027314
WA
246ZE0500X
EEG Specialist/Technologist
PSY32640
CA

Other

Enumeration date
08/05/2017
Last updated
09/12/2021
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