Individual
MR. THOMAS R DUHAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2611 NE 125TH ST, SUITE 225, SEATTLE, WA 98125-4373
(206) 361-6884
(206) 361-1598
Mailing address
2611 NE 125TH ST, SUITE 225, SEATTLE, WA 98125-4373
(206) 361-6884
(206) 361-1598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007558008
AETNA(PIN)
WA
01
—
91139348501
UNIFORM MED (PROV#)
WA
01
—
DU8105
REGENCE (RIDER#)
WA
Enumeration date
11/21/2006
Last updated
07/08/2007
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