Healthcare Provider Details

I. General information

NPI: 1437235231
Provider Name (Legal Business Name): NAOMI S CHAYTOR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARBORVIEW MEDICAL CENTER 325 9TH AVE
SEATTLE WA
98104
US

IV. Provider business mailing address

PO BOX 34001
SEATTLE WA
98124-1001
US

V. Phone/Fax

Practice location:
  • Phone: 206-731-3576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY00003312
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY00003312
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: