Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PY00001771 | WA |
NPI | 1033284476 |
---|---|
Provider Name | Dr. Jeffrey Louis Okey |
First Address | Tacoma, WA 98409-7324 |
Second Address | Tacoma, WA 98409-7324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 29/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7087588 | (05) | WA |