Patricia L. Gunderson PHD

NPI 1053393652 - Psychologist - 103TC0700X

NPI Details
NPI 1053393652
Gender Female
Enumeration Date 11/18/2005
Last Updated 01/29/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
850 MAPLE STREET
MEDICAL LAKE WA, 99022-0800, US
Phone (509) 565-4000
Fax (509) 565-7015
Business Location
850 MAPLE STREET
P.O. BOX 800
MEDICAL LAKE WA, 99022-0800, US
Phone (509) 565-4000
Fax (509) 565-7015
Toxanomy
Taxonomy Code 103TC0700X
License State Washington
License Number PY00001727
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According to our database, Dr. Patricia L. Gunderson PHD NPI is 1053393652, taxonomy code is 103TC0700X and license number is PY00001727, license state is located at Washington. Patricia L. Gunderson PHD physically located at 850 Maple Street, Medical Lake WA, 99022-0800. NPI Number Patricia L. Gunderson PHD has the Individual type.

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1053393652 NPI number is provided on an as is basis without warranty of any kind. 1053393652 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia L. Gunderson PHD are for informational purposes only.