Brock Brandon Weedman in Bellevue - Psychologist
Brock Brandon Weedman - NPI 1558346502
Brock Brandon Weedman is a Psychologist in Bellevue, Washington. Brock Brandon Weedman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brock Brandon Weedman is 1558346502. The last update date is 2007-07-08.
Brock Brandon Weedman's current location address is 2820 Northup Way, Bellevue, Washington. You can contact this provider via phone number 4252132848 and fax number 4255760654. The mailing address for Brock Brandon Weedman is 2820 Northup Way, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brock Brandon Weedman |
|---|---|
| Address | 2820 Northup Way, Bellevue, Washington |
| Phone Number | 4252132848 |
| Fax Number | 4255760654 |
| Sole Proprietor | X |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1558346502 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2820 Northup Way |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980041419 |
| Phone Number | 4252132848 |
| Fax Number | 4255760654 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY00003318 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8902991 | WA | CRIME VICTIMS |
Post Comment/ Review Below
What is the Brock Brandon Weedman's unique identification number?
The Brock Brandon Weedman has been assigned the NPI (National Provider Identifier) Number 1558346502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Brock Brandon Weedman is physically located?
The Brock Brandon Weedman is situated at the following address: 2820 Northup Way, Bellevue, WA 980041419.
What is Brock Brandon Weedman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brock Brandon Weedman is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did Brock Brandon Weedman receive its 1558346502 assignment from the Centers for Medicare & Medicaid Services?
The Brock Brandon Weedman was assigned its 1558346502 on 2005-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brock Brandon Weedman most recently updated or revised?
The information pertaining to Brock Brandon Weedman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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