Organization
A B C D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R. DUHAMEL PH.D. (CORPORATION PRESIDENT)
(206) 361-6884
Entity
Organization
Contact information
Practice address
2611 NE 125TH ST, STE 225, SEATTLE, WA 98125-4373
(206) 361-6884
(206) 361-1598
Mailing address
2611 NE 125TH ST, STE 225, SEATTLE, WA 98125-4373
(206) 361-6884
(206) 361-1598
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
WA
103TC0700X
Clinical Psychologist
—
WA
235Z00000X
Speech-Language Pathologist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008581622
AETNA
WA
01
—
106922106922
PREMERA BLUECROSS
WA
01
—
AA8105
REGENCE BLUESHIEDL
WA
Enumeration date
11/21/2006
Last updated
09/11/2025
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