| Organization Name: | DAVID C WADE PSY D PC |
| NPI Number: | 1124184221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID C WADE (DR) |
| Mailing Address: | 1100 E Marina Way Suite 221 Hood River |
| State: | OR US |
| Postal Code: | 970312305 |
| Phone Number: | 5414362998 |
| Fax Number: | |
| NPI Enumeration Date: | 12/31/2006 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |