Individual
DR. NATHANIEL JOHN JUNGBLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19803 NORTH CREEK PKWY, SUITE 205, BOTHELL, WA 98011
(425) 954-6038
Mailing address
19803 NORTH CREEK PKWY, SUITE 205, BOTHELL, WA 98011
(425) 954-6038
(425) 481-2157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60373417
WA
Other
Enumeration date
09/05/2013
Last updated
07/11/2018
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