Ty W Lostutter, PH.D.

NPI #1013327055 in Seattle, Washington

Provider Information

NPI Number
1013327055
Entity Type
Individual
Name
Ty W Lostutter, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Apr 29, 2014
Last Updated
Apr 29, 2014

Practice Location

Address
4225 ROOSEVELT WAY NE
ZIP Code
98105-6099
Phone
(206) 598-7792

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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