Paddock, Glen Benjamin
Paddock, Glen Benjamin is an sole proprietor health care provider with primary practice located at 4007 Bridgeport Way W Suite F2, University Place WA 98466-4330. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Paddock, Glen Benjamin can be contacted via phone (253) 565-2208.Contact Information
Primary practice address
4007 Bridgeport Way W Suite F2
University Place WA 98466-4330
Phone: (253) 565-2208
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF00001755 | Washington |
Profile Details
| NPI number | 1447580857 |
|---|---|
| LBN Legal business name | Paddock, Glen Benjamin |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2010 |
| Last updated | Jan 7th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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