Provider Demographics
NPI:1356441034
Name:W. ALLEN HUME, PH.D., INC, PS
Entity Type:Organization
Organization Name:W. ALLEN HUME, PH.D., INC, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HUME
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-824-6262
Mailing Address - Street 1:22517 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-6820
Mailing Address - Country:US
Mailing Address - Phone:206-824-6262
Mailing Address - Fax:
Practice Address - Street 1:22517 7TH AVE S
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-6820
Practice Address - Country:US
Practice Address - Phone:206-824-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002976103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0186045OtherLABOR & INDUSTRIES