Provider Demographics
NPI:1518916253
Name:CELIO, DAVID LEON (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEON
Last Name:CELIO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 95263
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-2263
Mailing Address - Country:US
Mailing Address - Phone:360-675-4027
Mailing Address - Fax:206-329-0866
Practice Address - Street 1:520 E WHIDBEY AVE
Practice Address - Street 2:OFFICE # 206
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5922
Practice Address - Country:US
Practice Address - Phone:360-675-4027
Practice Address - Fax:206-329-0866
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA623103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical