Individual
DR. BROCK BRANDON WEEDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
2820 NORTHUP WAY, SUITE 105, BELLEVUE, WA 98004-1419
(425) 213-2848
(425) 576-0654
Mailing address
2820 NORTHUP WAY, SUITE 105, BELLEVUE, WA 98004-1419
(425) 213-2848
(425) 576-0654
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8902991
CRIME VICTIMS
WA
Enumeration date
12/13/2005
Last updated
07/08/2007
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