NPI 1043664352

Jay R Skidmore, PHD

Practitioner Clinical Psychologist Everett, WA

Practice location

Address: 2230 Rucker Ave STE 100, Everett, WA 98201-2772
Phone: (206) 200-4357
Mailing address: 15121 62nd Ave W, Edmonds, WA 98026-4105

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY00002488 (WA)

Other Psychologist providers in Washington →

Registry record

NPI: 1043664352
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2016
Record last updated: 22 Apr 2016

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.