Provider Demographics
NPI:1265832851
Name:WAYNE DEES PSYCHOLOGICAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:WAYNE DEES PSYCHOLOGICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:DEES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:206-658-7459
Mailing Address - Street 1:PO BOX 2320
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-2320
Mailing Address - Country:US
Mailing Address - Phone:206-658-7459
Mailing Address - Fax:
Practice Address - Street 1:12500 BARKER CYPRESS RD
Practice Address - Street 2:5201
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8239
Practice Address - Country:US
Practice Address - Phone:206-658-7459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34276251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health