Individual
DR. CHRISTIAN MICHAEL QUAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15418 MAIN ST, SUITE 301, MILL CREEK, WA 98012-9030
(425) 385-3262
(425) 357-0924
Mailing address
15418 MAIN ST, SUITE 301, MILL CREEK, WA 98012-9030
(425) 385-3262
(425) 357-0924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
WA 1303
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7079452
—
WA
Enumeration date
11/29/2006
Last updated
07/08/2007
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