Healthcare Provider Details

I. General information

NPI: 1720088685
Provider Name (Legal Business Name): THOMAS LITTMAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 SE 38TH ST STE 104
BELLEVUE WA
98006-5232
US

IV. Provider business mailing address

12600 SE 38TH ST STE 104
BELLEVUE WA
98006-5232
US

V. Phone/Fax

Practice location:
  • Phone: 425-457-7999
  • Fax: 425-679-5968
Mailing address:
  • Phone: 425-457-7999
  • Fax: 425-679-5968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00002233
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: