Provider Demographics
NPI:1750392718
Name:HUME, WAYNE ALLEN JR (PHD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:ALLEN
Last Name:HUME
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
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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:206-870-9081
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:206-870-9081
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPY00002976103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0220663OtherLABOR & INDUSTRIES