Doctor Name: | DR. MICHAEL DEAN RATTRAY |
NPI Number: | 1437234937 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY00002279 |
Business Practice Address: | 105 Nw 1st St Coupeville, WA - 98239 |
Business Phone Number: | 3606785555 |
Business Fax Number: | 3606783636 |
Mailing Address: | 105 Nw First St, Po Box 160 COUPEVILLE |
State: | WA |
Postal Code: | 982390160 |
Phone Number: | 3606785555 |
Fax Number: | 3606783636 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY00002279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |