Doctor Name: | DR. WILLIAM JOHN RARICK |
NPI Number: | 1093770026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | PY00001490 |
Business Practice Address: | 1191 Nw Tahoe Ln Silverdale, WA - 983837954 |
Business Phone Number: | 3606984860 |
Business Fax Number: | 3606983849 |
Mailing Address: | Po Box 3428, SILVERDALE |
State: | WA |
Postal Code: | 98383 |
Phone Number: | 3606984860 |
Fax Number: | 3606983849 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 08/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY00001490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |