Provider Demographics
NPI:1487324240
Name:NADLER, DAVID ARTHUR (BA, AAC, CLIN 1)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ARTHUR
Last Name:NADLER
Suffix:
Gender:M
Credentials:BA, AAC, CLIN 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18822 208TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-8037
Mailing Address - Country:US
Mailing Address - Phone:360-813-2284
Mailing Address - Fax:
Practice Address - Street 1:3305 OAKES AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4409
Practice Address - Country:US
Practice Address - Phone:425-338-7589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health