Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0004X | Health Psychologist | PY1911 | WA |
NPI | 1487883716 |
---|---|
Provider Name | Dr. Robert Drury |
First Address | Bainbridge Island, WA 98110-2907 |
Second Address | Bainbridge Island, WA 98110-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 20/09/2013 |