Organization
UNIVERSITY OF WASHINGTON
Active
Other names
UW Psychological Services & Training Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY N FAGAN PH.D. (CLINIC DIRECTOR)
(206) 543-6511
Entity
Organization
Contact information
Practice address
3920 15TH AVE NE, UW MAILSTOP 351635, SEATTLE, WA 98195-1635
(206) 543-6511
(206) 616-8367
Mailing address
1959 NE PACIFIC ST, UW MAILSTOP 351635, SEATTLE, WA 98195-0001
(205) 543-6511
(206) 616-8367
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
H-128
WA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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