Provider Demographics
NPI:1699840462
Name:DONG, NATALIE J (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:J
Last Name:DONG
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:407 - 14TH AVE SE
Mailing Address - Street 2:PHYSICAL MEDICINE & REHABILITATION
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-9936
Mailing Address - Country:US
Mailing Address - Phone:253-697-2706
Mailing Address - Fax:253-697-5180
Practice Address - Street 1:407 - 14TH AVE SE
Practice Address - Street 2:PHYSICAL MEDICINE & REHABILITATION
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-9936
Practice Address - Country:US
Practice Address - Phone:253-697-2706
Practice Address - Fax:253-697-5180
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY 17892103TC0700X
WAPY00003657103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical