Individual
BRANDON T MATSUMIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
21600 HIGHWAY 99 STE 290, EDMONDS, WA 98026-8022
(425) 673-3456
(425) 673-3474
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61346917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2261022
—
WA
Enumeration date
05/17/2021
Last updated
01/19/2024
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