Basic Information
| Provider Information | |||||||||
| NPI: | 1730687344 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOOMEY | ||||||||
| FirstName: | MARCUS | ||||||||
| MiddleName: | WILLIAM JOHN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13204 SE NEWPORT WAY APT E202 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980062073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605948325 | ||||||||
| FaxNumber: | 2069012010 | ||||||||
| Practice Location | |||||||||
| Address1: | 13204 SE NEWPORT WAY APT E202 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980062073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605948325 | ||||||||
| FaxNumber: | 2069012010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2018 | ||||||||
| LastUpdateDate: | 02/11/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.