Healthcare Provider Details

I. General information

NPI: 1487241246
Provider Name (Legal Business Name): DUNCAN BENJAMIN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 S HUDSON ST STE 104
SEATTLE WA
98118-2171
US

IV. Provider business mailing address

3715 S HUDSON ST STE 104
SEATTLE WA
98118-2171
US

V. Phone/Fax

Practice location:
  • Phone: 206-504-0743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: