NPI 1538235908

Gary Daniel Southwell, PHD

Practitioner Clinical Neuropsychologist Olympia, WA

Practice location

Address: 9643 39th Loop NE, Olympia, WA 98516-6230
Phone: (360) 951-8647

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY 60423359 (WA)

Other Clinical Neuropsychologist providers in Washington →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1655 (AZ)

Other Psychologist providers in Washington →

Registry record

NPI: 1538235908
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2006
Record last updated: 31 Oct 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.