DR. HARRY C DUDLEY (NPI# 1164647046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164647046 |
Entity Type | Individual |
Full Name | DR. HARRY C DUDLEY |
Credential | PSY.D. |
Practice Address |
7600 Ne 41st St Suite 310 Vancouver WA 98662-6791 |
Mailing Address |
7600 Ne 41st St Suite 310 Vancouver WA 98662-6728 |
Practice Telephone | 3602536425 |
Practice Fax Number | 3602533196 |
Mailing Telephone | 3602536425 |
Mailing Fax Number | 3602533196 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2012-01-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
1794 | WA | Behavioral Health & Social Service Providers |
Street Address |
7600 NE 41ST ST SUITE 310 |
City | VANCOUVER |
State | WA |
Zip Code | 98662-6791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982602322 | Arlin Edward Brown | Psychiatry & Neurology | 7600 Ne 41st St, Suite #310, Vancouver, WA 98662-6728 | 2005-07-11 |
1699016972 | Megan Ivana Dye | Nurse Practitioner | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6728 | 2013-03-11 |
1285818732 | Kenneth A Shultz | Psychologist | 7600 Ne 41st St, #310, Vancouver, WA 98662-6728 | 2007-12-19 |
1538380894 | Walter J Spafford | Social Worker | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6728 | 2007-05-02 |
1548381197 | Kathleen Mary Bruhn | Psychologist | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6791 | 2007-04-02 |
1255483715 | Jack Myron Litman | Psychologist | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6791 | 2007-01-17 |
1801944194 | Laura Ikehara-martin | Social Worker | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6791 | 2007-01-05 |
1568556926 | Judith Ann Kozicki | Nurse Practitioner | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6791 | 2006-10-02 |
1336251818 | Susan E. Jamiel | Nurse Practitioner | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6791 | 2006-08-31 |
1922081066 | Alpha Psychiatric Services, Inc | Psychiatry & Neurology | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6728 | 2005-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
Find all providers in zip 98662 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952896359 | Laura Guy | Psychologist | 105-3839 W. 4th Ave., Vancouver, BC V6R1P8 | 2018-06-27 |
1265658066 | Christopher Kirk Johnson | Psychologist | 3112 Main St, Vancouver, WA 98663-2752 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174148878 | Sandra Lee Sellam | Psychologist | 4525 S Warner St Apt 3, Tacoma, WA 98409-5503 | 2020-06-09 |
1780157495 | Brian William Judd | Psychologist | 501 Columbia St Nw Ste A, Olympia, WA 98501-1062 | 2019-01-04 |
1922506377 | Diane Weyer Dewitt | Psychologist | 12356 Northup Way Ste 100, Bellevue, WA 98005-1956 | 2018-01-30 |
1598130155 | Corre Spence | Psychologist | 2204 S Norman St, Seattle, WA 98144-2943 | 2015-12-08 |
1023432150 | Joseph Nevotti | Psychologist | 2023 East Sims Way, Port Townsend, WA 98368 | 2014-02-10 |
1386931608 | Brendon Scholtz | Psychologist | 16731 188th Pl Ne, Woodinville, WA 98072-9197 | 2011-07-07 |
1699081604 | Pacific Forensic Psychology Services | Psychologist | 427 W 7th Ave, Spokane, WA 99204-2611 | 2010-08-27 |
1265696884 | C O'donnell | Psychologist | 1903 W Garland Ave, Box 10757, Spokane, WA 99205-2519 | 2008-07-13 |
1891992467 | John Robert Wheeler | Psychologist | 19105 36th Ave W, Suite 206, Lynnwood, WA 98036-5760 | 2007-06-28 |
1619184827 | Norman James Mar | Psychologist | 515 Minor Ave Ste 230, Seattle, WA 98104-2133 | 2007-05-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.