IndividualActive
John Van Eenwyk, PHD
NPI 1093964181 · Psychoanalysis Psychologist · Olympia, WA
Provider details
- NPI number
- 1093964181
- Entity type
- Individual
- Primary specialty
- Psychoanalysis PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY00001787 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1026 State Ave Ne
Olympia, WA 98506-4065
Phone: (360) 352-2974
Approximate (ZIP-level) locationGet directions
Mailing address
1026 State Ave Ne
Olympia, WA 98506-4065
Registry dates
- Enumerated
- 2008-09-12
- Last updated
- 2010-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.