Southwell, Gary Daniel

Southwell, Gary Daniel is an individual health care provider with primary practice located at 9643 39Th Loop Ne , Olympia WA 98516-6230. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Southwell, Gary Daniel can be contacted via phone (360) 951-8647.

Contact Information

Primary practice address
9643 39Th Loop Ne Olympia WA 98516-6230
Phone: (360) 951-8647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1655 Arizona
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY 60423359 Washington

Profile Details

NPI number 1538235908
LBN Legal business name Southwell, Gary Daniel
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 31st, 2016 - about 8 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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