Individual
REBECCA JOY DEWAAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9040 JACKSON AVENUE, DEPARTMENT OF PEDIATRICS, FORT LEWIS, WA 98431
(253) 968-2310
Mailing address
9040 JACKSON AVENUE, DEPARTMENT OF PEDIATRICS, FORT LEWIS, WA 98431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60269034
WA
Other
Enumeration date
10/21/2007
Last updated
09/19/2013
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