NPI 1003415779

Matthew L Wald

Practitioner Student in an Organized Health Care Education/Training Program Seattle, WA

Practice location

Address: 122 16th Ave E, Seattle, WA 98112-5212
Phone: (206) 302-2700
Mailing address: 6400 Southcenter Blvd, Tukwila, WA 98188-2547

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Washington →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Washington →

Registry record

NPI: 1003415779
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Oct 2020
Record last updated: 22 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.