Weedman, Brock Brandon
Weedman, Brock Brandon is an individual health care provider with primary practice located at 2820 Northup Way Suite 105, Bellevue WA 98004-1419. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Weedman, Brock Brandon can be contacted via phone (425) 213-2848.Contact Information
Primary practice address
2820 Northup Way Suite 105
Bellevue WA 98004-1419
Phone: (425) 213-2848
Fax: (425) 576-0654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY00003318 | Washington |
Profile Details
| NPI number | 1558346502 |
|---|---|
| LBN Legal business name | Weedman, Brock Brandon |
| Credentials | PSY D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558346502 | NPPES |
| Washington | Other | 8902991 | CRIME VICTIMS |
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