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Individual

DR. JOSHUA DAVID LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
7229 78TH DR NE, MARYSVILLE, WA 98270-6563
(425) 879-1510
Mailing address
7229 78TH DR NE, MARYSVILLE, WA 98270-6563
(425) 879-1510

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY61022885
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY61022885
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/23/2022
Last updated
08/23/2022
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