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Contact Information

THERESA M BUYSSE, PhD
3931 COLBY AVE
EVERETT, WA98201-4926
 Phone: 425-249-9618
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THERESA M BUYSSE · (Female)

NPI # 1720423650
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/06/2013
Last updated 10/21/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # PY00003706
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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