Provider Demographics
NPI:1184896698
Name:SAYRE, GEORGE GRAHAM (PSYD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GRAHAM
Last Name:SAYRE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 N BLAKELEY ST
Mailing Address - Street 2:STE 102
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-1454
Mailing Address - Country:US
Mailing Address - Phone:360-794-1951
Mailing Address - Fax:360-794-6711
Practice Address - Street 1:203 N BLAKELEY ST
Practice Address - Street 2:STE 102
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1454
Practice Address - Country:US
Practice Address - Phone:360-794-1951
Practice Address - Fax:360-794-6711
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF1210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist