Individual
IAN CUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1914 N 34TH ST STE 206, SEATTLE, WA 98103-9089
(206) 594-0577
Mailing address
619 NW MARKET ST APT 2, SEATTLE, WA 98107-2709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61603244
WA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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