Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | LH 00010780 | WA |
NPI | 1083775951 |
---|---|
Provider Name | Mr. Joel Bell |
First Address | Seattle, WA 98107-2648 |
Second Address | Seattle, WA 98107-4049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 05/08/2014 |