IndividualActive
Mario Gaspar De Alba
NPI 1841921046 · Family Psychologist · North Bend, WA
Provider details
- NPI number
- 1841921046
- Entity type
- Individual
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- MG60848499 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
301 W North Bend Way
North Bend, WA 98045-8163
Phone: (425) 200-0130
Fax: (425) 209-0766
Approximate (ZIP-level) locationGet directions
Mailing address
301 W North Bend Way
North Bend, WA 98045-8163
Registry dates
- Enumerated
- 2022-06-20
- Last updated
- 2022-06-20
- Certified
- 2022-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.