DR. GARY DANIEL SOUTHWELL PH.D. NPI 1538235908

NPI Information

NPI: 1538235908
Provider Name: DR. GARY DANIEL SOUTHWELL, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
9643 39TH LOOP NE
OLYMPIA, WA
ZIP 98516
Phone: (360) 951-8647
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DR. Gary Daniel Southwell, PH.D. is a clinical neuropsychologist in Olympia, WA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Gary Daniel Southwell, PH.D. NPI is 1538235908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9643 39TH LOOP NE
OLYMPIA, WA
ZIP 98516-230
Phone: (360) 951-8647

The enumeration date for this NPI number is 11/28/2006 and was last updated on 10/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	1655	ARIZONA	No
2	103G00000X	Clinical Neuropsychologist		PY 60423359	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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