Individual
DR. LOREN WILBURN MCCOLLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
610 112TH ST E, TACOMA, WA 98445-3002
(253) 537-2574
(253) 537-2283
Mailing address
610 112TH ST E, TACOMA, WA 98445-3002
(253) 537-2574
(253) 537-2283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001610
WA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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