Organization
PHILLIP S. TATE PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP S TATE PHD (OWNER)
(253) 455-4626
Entity
Organization
Contact information
Practice address
12303 MERIDIAN E STE 202, PUYALLUP, WA 98373-3418
(253) 268-0854
(253) 268-0854
Mailing address
12303 MERIDIAN E STE 202, PUYALLUP, WA 98373-3418
(253) 268-0854
(253) 268-0854
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
04/07/2025
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