Individual
CALEB GOODMAN NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
800 5TH AVE STE P100, SEATTLE, WA 98104-3176
(206) 320-3351
(206) 554-7787
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY61131091
WA
103TC0700X
Clinical Psychologist
Primary
PY61131091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740743319
—
WA
Enumeration date
04/10/2019
Last updated
01/18/2022
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