Provider Demographics
NPI:1285915272
Name:GILCHRIST, GARRETT ALEXANDER (PHD)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:ALEXANDER
Last Name:GILCHRIST
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19015 12TH PL NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-2719
Mailing Address - Country:US
Mailing Address - Phone:206-660-7738
Mailing Address - Fax:
Practice Address - Street 1:10740 MERIDIAN AVE. N., SUITE 102
Practice Address - Street 2:THE CENTER FOR PSYCHOLOGICAL HEALTH
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-466-5649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60101358103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist