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Individual

DR. MATTHEW RALPH DE HAAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
16000 BOTHELL EVERETT HWY, SUITE 340, MILL CREEK, WA 98012-1742
(425) 780-7184
Mailing address
112 216TH ST SW, BOTHELL, WA 98021-7528
(619) 307-1420

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
60337257
WA

Other

Enumeration date
09/09/2010
Last updated
06/02/2015
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