Individual
DR. BRUCE CHESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3355 SHORELINE DR, CAMANO ISLAND, WA 98282-8223
(406) 248-1126
(406) 245-0948
Mailing address
3355 SHORELINE DR, CAMANO ISLAND, WA 98282-8223
(406) 248-1126
(406) 245-0948
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MT147
MT
103TC2200X
Clinical Child & Adolescent Psychologist
PY60894790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490425
—
MT
Enumeration date
07/11/2006
Last updated
06/18/2021
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