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Dr. Gary Daniel Southwell, PHD
Clinical Neuropsychologist in Olympia, Washington
NPI 1538235908

Gary Daniel Southwell is a Clinical Neuropsychologist based in Olympia, WA. Gary Daniel Southwell practices in Olympia, WA and has the professional credentials of PHD. The NPI Number for Gary Daniel Southwell is 1538235908 and holds a License No. 1655 (Washington).

The current practice location address for Gary Daniel Southwell is 9643 39Th Loop Ne, Olympia, WA and can be reached out via phone at 360-951-8647.

Location: 9643 39Th Loop Ne, Olympia, WA, 98516-6230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538235908
Provider Name
Gary Daniel Southwell
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
9643 39Th Loop Ne, Olympia, WA, 98516-6230
Phone Number
360-951-8647
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9643 39Th Loop Ne
City
Olympia
State
Washington
Zip
98516-6230
Phone Number
360-951-8647
Fax Number
person
Provider Business Mailing Address Details
Address
9643 39Th Loop Ne
City
Olympia
State
Washington
Zip
98516-6230
Phone Number
360-951-8647
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PY 60423359 (Washington)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1655 (Arizona)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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