Individual
DAVID H FORDYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00000928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039586
LABOR AND INDUSTRIES#
WA
05
—
8368425
—
WA
01
—
FO0456
BLUE SHIELD#
WA
05
—
PS709WA
—
AK
01
—
US4127101
AETNA SPECIALIST PIN
WA
Enumeration date
01/18/2007
Last updated
04/07/2008
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