Individual
DR. GARY ALLEN VANDALFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11808 NORTHUP WAY, SUITE W-150, BELLEVUE, WA 98005-1936
(425) 822-0242
(425) 889-1249
Mailing address
11808 NORTHUP WAY, SUITE W-150, BELLEVUE, WA 98005-1936
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001869
WA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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