Individual
THOMAS C PETEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
33516 9TH AVE S, BLDG 1, FEDERAL WAY, WA 98003-6322
(253) 838-2501
(253) 838-1354
Mailing address
33516 9TH AVE S, BLDG 1, FEDERAL WAY, WA 98003-6322
(253) 838-2501
(253) 838-1354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00000502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005663
—
WA
Enumeration date
10/19/2005
Last updated
07/08/2007
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