Organization
THOMAS W. WALL PHD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM WALL PHD (PRESIDENT)
(206) 325-5700
Entity
Organization
Contact information
Practice address
2440 DEXTER AVE N APT 1, SEATTLE, WA 98109-5924
(206) 325-5700
Mailing address
2440 DEXTER AVE N APT 1, SEATTLE, WA 98109-5924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
485
WA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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