Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0700X | Adult Development & Aging Psychologist | PY00000968 | WA |
NPI | 1881768299 |
---|---|
Provider Name | Dr. Mark Richard Hammarlund |
First Address | Seattle, WA 98133-7211 |
Second Address | Everett, WA 98201-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 02/07/2010 |