Gary Daniel Southwell in Olympia - Clinical Neuropsychologist
Gary Daniel Southwell - NPI 1538235908
Gary Daniel Southwell is a Clinical Neuropsychologist in Olympia, Washington. Gary Daniel Southwell practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Gary Daniel Southwell is 1538235908. The last update date is 2016-10-31.
Gary Daniel Southwell's current location address is 9643 39th Loop Ne, Olympia, Washington. You can contact this provider via phone number 3609518647. The mailing address for Gary Daniel Southwell is 9643 39th Loop Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Daniel Southwell |
|---|---|
| Address | 9643 39th Loop Ne, Olympia, Washington |
| Phone Number | 3609518647 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1538235908 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2016-10-31 |
Provider Mailing Address Detail
| Address | 9643 39th Loop Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985166230 |
| Phone Number | 3609518647 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY 60423359 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identifier code issued to Gary Daniel Southwell by the Centers for Medicare & Medicaid Services?
The Gary Daniel Southwell has been assigned the NPI (National Provider Identifier) 1538235908. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gary Daniel Southwell's physical address?
The Gary Daniel Southwell is physically located at 9643 39Th Loop Ne, in the city of Olympia, WA, with the postal code 985166230.
What is the Gary Daniel Southwell's area of specialization and corresponding taxonomy classification?
The Gary Daniel Southwell's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
When was the Gary Daniel Southwell's 1538235908 issued?
The Gary Daniel Southwell's 1538235908 was issued on 2006-11-28.
When was the information regarding Gary Daniel Southwell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Daniel Southwell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-10-31.