Provider Demographics
NPI:1568749257
Name:WAYNE C DEES PSY.D P.S.
Entity Type:Organization
Organization Name:WAYNE C DEES PSY.D P.S.
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:206-217-4530
Mailing Address - Street 1:14212 AMBAUM BLVD SW
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1449
Mailing Address - Country:US
Mailing Address - Phone:206-217-4530
Mailing Address - Fax:206-217-4533
Practice Address - Street 1:14212 AMBAUM BLVD SW
Practice Address - Street 2:SUITE 103
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1449
Practice Address - Country:US
Practice Address - Phone:206-217-4530
Practice Address - Fax:206-217-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY3311251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8857047Medicare PIN