Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN BENJAMIN PADDOCK, PHD
Active Sole ProprietorGLEN BENJAMIN PADDOCK, PHD is a Marriage & Family Therapist healthcare provider located in UNIVERSITY PLACE, Washington. NPI 1447580857 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · UNIVERSITY PLACE, WA
Registration Details
- NPI Number
- 1447580857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2010 (16.456640556577 yrs)
- Last Updated
- Jan 7, 2010
- License
-
LF00001755 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4007 BRIDGEPORT WAY WSUITE F2UNIVERSITY PLACE, WA, 984664330Browse WA providers · Browse ZIP 98466
- Phone
- 2535652208
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in UNIVERSITY PLACE, WA
| Name | Credential | NPI |
|---|---|---|
| MS. JEANNE L. GROFF | LMFT | 1265508766 |
| TAMRA DAVIS | LMFT | 1578695722 |
| JACQUELINE LEE PARKES | MA, JD | 1174730675 |
| WILLIAM L WOEHL | — | 1427232321 |
| MS. REBECCA JANE SCHILTZ | LMFT | 1871745216 |
| MRS. ARIEL BLANCHE KOFOED | MA, LMFT, MHP | 1215232764 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.