Provider Demographics
NPI:1174518658
Name:NALBONE, PATRICK J (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:NALBONE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2617 12TH CT SW
Mailing Address - Street 2:SUITE 5
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-1022
Mailing Address - Country:US
Mailing Address - Phone:360-754-3382
Mailing Address - Fax:360-352-7881
Practice Address - Street 1:2617 12TH CT SW
Practice Address - Street 2:SUITE 5
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1022
Practice Address - Country:US
Practice Address - Phone:360-754-3382
Practice Address - Fax:360-352-7881
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY1862103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist