Provider Demographics
NPI:1508061052
Name:PUGH, STEVEN D (STEVEN PUGH, PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:PUGH
Suffix:
Gender:M
Credentials:STEVEN PUGH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18711 152ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8431
Mailing Address - Country:US
Mailing Address - Phone:425-485-9377
Mailing Address - Fax:
Practice Address - Street 1:18711 152ND AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8431
Practice Address - Country:US
Practice Address - Phone:425-485-9377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1396103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist