Individual
JASON MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
21907 64TH AVE W, SUITE 220, MOUNTLAKE TERRACE, WA 98043-2200
(425) 418-0720
Mailing address
21907 64TH AVE W, SUITE 220, MOUNTLAKE TERRACE, WA 98043-2200
(425) 418-0720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60973872
WA
Other
Enumeration date
09/27/2011
Last updated
05/24/2024
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