Individual
DR. BRENDA KAY HAVELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3224 75TH DR NE, MARYSVILLE, WA 98270-6804
(425) 387-6972
Mailing address
3224 75TH DR NE, MARYSVILLE, WA 98270-6804
(425) 387-6972
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY60014648
WA
103TC0700X
Clinical Psychologist
PY60014648
WA
103TR0400X
Rehabilitation Psychologist
Primary
PY60014648
WA
Other
Enumeration date
07/07/2008
Last updated
06/05/2024
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