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DR. PATRICIA L. GUNDERSON PHD
NPI 1053393652
Psychologist - Clinical in Medical Lake, WA

Active since November 18, 2005
850 MAPLE STREET, MEDICAL LAKE, WA 99022(509) 565-4000(509) 565-7015 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patricia L. Gunderson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICIA L. GUNDERSON PHD (NPI 1053393652) is an individual clinical provider in Medical Lake, Washington, licensed in Washington (PY00001727) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1053393652
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PATRICIA L. GUNDERSONCredential: PHD
Location Address850 MAPLE STREETMedical Lake, WA 99022-0800
Mailing Address850 Maple Street, P.o. Box 800Medical Lake, WA 99022-0800 · (509) 565-4000 · Fax (509) 565-7015
Phone(509) 565-4000
Fax(509) 565-7015
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateJanuary 29, 2015
✔ NPI 1053393652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY00001727
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
850 MAPLE STREET, Medical Lake, WA 99022
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Other Identifiers 3

Medicare UPINS77433WA
Medicare PINAB08773WA
Medicaid8388266WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DARLENE E. WALSH-MARTIN PHD
Psychologist
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SAMAYA CASSANDRA LOVEGOOD M.D.
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
CHRISTINA L. ZAMPICH PSYD
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SUZANNE D. PEREGOY D.O.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. PIERRE JOHN SOFFE M.D.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. AVERLY H NELSON M.D.
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. GRANT F. RODKEY DMD
Dentist (General Practice)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DAVID W. ELKINS JR. PHD
Psychologist (Clinical)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Gunderson's NPI number?

The NPI number for Patricia Gunderson is 1053393652. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Patricia Gunderson located?

Patricia Gunderson practices at 850 Maple Street, Medical Lake, WA 99022. The listed phone number is (509) 565-4000.

What is Patricia Gunderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Patricia Gunderson was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.