William John Chalstrom PH D

NPI 1538255658 - Psychologist - 103T00000X

NPI Details
NPI 1538255658
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2501 MILE HILL DRIVE
SUITE A 105 PORT ORCHARD CLINICAL PSYCHOLOGY CENTER
PORT ORCHARD WA, 98366-0776, US
Phone (360) 876-0285
Fax (360) 876-4685
Business Location
PO BOX 776
PORT ORCHARD WA, 98366-0776, US
Phone (360) 876-0285
Fax (360) 876-4685
Toxanomy
Taxonomy Code 103T00000X
License State Washington
License Number PY00001242
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According to our database, Dr. William John Chalstrom PH D NPI is 1538255658, taxonomy code is 103T00000X and license number is PY00001242, license state is located at Washington. William John Chalstrom PH D physically located at 2501 Mile Hill Drive, Port Orchard WA, 98366-0776. NPI Number William John Chalstrom PH D has the Individual type.

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1538255658 NPI number is provided on an as is basis without warranty of any kind. 1538255658 is maintained by the National Plan & Provider Enumeration System. The contents of William John Chalstrom PH D are for informational purposes only.