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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY DANIEL SOUTHWELL, PH.D.

Active

DR. GARY DANIEL SOUTHWELL, PH.D. is a Clinical Neuropsychologist healthcare provider located in OLYMPIA, Washington. NPI 1538235908 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · OLYMPIA, WA

Registration Details

NPI Number
1538235908
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2006 (19.679427336045 yrs)
Last Updated
Oct 31, 2016
Licenses
1655 (AZ)
PY 60423359 (WA)

Practice Information

Address
9643 39TH LOOP NE
OLYMPIA, WA, 985166230
Browse WA providers · Browse ZIP 98516
Phone
3609518647
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in OLYMPIA, WA

Name Credential NPI
DR. KRISTINE RAE VANDERMARK POWELL PSYD 1477601789
MICHELLE LEA BABCOCK PSYD 1023422573
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.