Chalstrom, William John

Chalstrom, William John is an individual health care provider with primary practice located at 2501 Mile Hill Drive Suite A 105 Port Orchard Clinical Psychology Center, Port Orchard WA 98366-0776. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Chalstrom, William John can be contacted via phone (360) 876-0285.

Contact Information

Primary practice address
2501 Mile Hill Drive Suite A 105 Port Orchard Clinical Psychology Center Port Orchard WA 98366-0776
Phone: (360) 876-0285
Fax: (360) 876-4685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00001242 Washington

Profile Details

NPI number 1538255658
LBN Legal business name Chalstrom, William John
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538255658 NPPES
Washington MEDICAID 7046725
Washington Other 137334
Washington Other 37794

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