Individual
JACOB VERMEERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7000
(866) 559-3952
Mailing address
1467 FORD ST STE 104, REDLANDS, CA 92373-3911
(909) 583-4040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
PY61402805
WA
Other
Enumeration date
10/12/2017
Last updated
11/16/2023
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