Doctor Name: | DR. MICHAEL A. ARCHER |
NPI Number: | 1053518795 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PY 60063517 |
Business Practice Address: | 1700 Nw Gilman Blvd Suite 205 Issaquah, WA - 980275349 |
Business Phone Number: | 2069929192 |
Business Fax Number: | 4254272477 |
Mailing Address: | 7013 Holly Park Dr S, SEATTLE |
State: | WA |
Postal Code: | 981183525 |
Phone Number: | 2069929192 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY 60063517 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |