Paddock, Glen Benjamin

Paddock, Glen Benjamin is an sole proprietor health care provider with primary practice located at 4007 Bridgeport Way W Suite F2, University Place WA 98466-4330. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Paddock, Glen Benjamin can be contacted via phone (253) 565-2208.

Contact Information

Primary practice address
4007 Bridgeport Way W Suite F2 University Place WA 98466-4330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF00001755 Washington

Profile Details

NPI number 1447580857
LBN Legal business name Paddock, Glen Benjamin
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2010
Last updated Jan 7th, 2010 - about 14 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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