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Individual

DR. GAIL TOYCEN WEYERHAEUSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1250 PACIFIC AVE, STE #875, TACOMA, WA 98402
(253) 572-2745
(253) 572-2947
Mailing address
1250 PACIFIC AVE, STE #875, TACOMA, WA 98402
(253) 572-2745
(253) 572-2947

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00002449
WA
103TC0700X
Clinical Psychologist
PY2449
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
524703
VALUE OPTIONS
WA
01
8201WE
REGENCE
WA
01
G8858015
MEDICARE GRP PIN
WA
Enumeration date
10/25/2006
Last updated
04/29/2014
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