Individual
DR. TODD CORYELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1857 23RD AVE E, SEATTLE, WA 98112-2913
(206) 329-8350
(425) 412-3281
Mailing address
1857 23RD AVE E, SEATTLE, WA 98112-2913
(206) 329-8350
(425) 412-3281
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001092
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY00001092
LICENSE NUMBER
WA
Enumeration date
07/14/2006
Last updated
09/15/2011
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