Petek, Thomas C

Petek, Thomas C is an individual health care provider with primary practice located at 33516 9Th Ave S Bldg 1, Federal Way WA 98003-6322. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Petek, Thomas C can be contacted via phone (253) 838-2501.

Contact Information

Primary practice address
33516 9Th Ave S Bldg 1 Federal Way WA 98003-6322
Phone: (253) 838-2501
Fax: (253) 838-1354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00000502 Washington

Profile Details

NPI number 1609865989
LBN Legal business name Petek, Thomas C
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
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 1609865989 NPPES
Washington MEDICAID 7005663

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