Individual
VIRGINIA M. BUZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
555 DAYTON ST, STE D, EDMONDS, WA 98020-3476
(425) 330-0421
Mailing address
18540 63RD AVE NE, KENMORE, WA 98028-8919
(425) 330-0421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
60048804
WA
Other
Enumeration date
01/10/2007
Last updated
10/26/2016
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