Individual
CHAD THOMAS OBERHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-3162
Mailing address
BLDG 3742 RAILROAD AVE, TACOMA, WA 98431-1100
(941) 539-2690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.007273
IL
103T00000X
Psychologist
Primary
PY 7475
FL
Other
Enumeration date
06/24/2010
Last updated
03/11/2019
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