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GLEN BENJAMIN PADDOCK PHD
NPI 1447580857
Marriage & Family Therapist in University Place, WA

Active since January 07, 2010
4007 BRIDGEPORT WAY W, SUITE F2, UNIVERSITY PLACE, WA 98466(253) 565-2208 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Benjamin Paddock Phd NPPES

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

GLEN BENJAMIN PADDOCK PHD (NPI 1447580857) is an individual marriage & family therapist in University Place, Washington, licensed in Washington (LF00001755) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1447580857
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGLEN BENJAMIN PADDOCKCredential: PHD
Location Address4007 BRIDGEPORT WAY W, SUITE F2University Place, WA 98466-4330
Mailing Address16513 133rd Pl SeRenton, WA 98058-6968 · (206) 619-7734
Phone(253) 565-2208
Sole ProprietorYes
Enumeration DateJanuary 7, 2010
✔ NPI 1447580857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WA · LF00001755
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4007 BRIDGEPORT WAY W, University Place, WA 98466
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Other Providers at the Same Location NPPES 3

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

MISS RACHEL E CARGILL LMP
Specialist
4007 BRIDGEPORT WAY W, SUITE F-1
UNIVERSITY PLACE, WA 98466
Pierce County (253) 565-7529
LARRY D FARNES
Specialist
4007 BRIDGEPORT WAY W, SUITE C
UNIVERSITY PLACE, WA 98466
Pierce County (253) 565-7529
MS. REBECCA JANE SCHILTZ LMFT
Marriage & Family Therapist
4007 BRIDGEPORT WAY W, SUITE F-2
UNIVERSITY PLACE, WA 98466
Pierce County (253) 565-2208

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 Glen Paddock's NPI number?

The NPI number for Glen Paddock is 1447580857. It was assigned to this individual provider in the NPPES registry on January 7, 2010.

Where is Glen Paddock located?

Glen Paddock practices at 4007 Bridgeport Way W Suite F2, University Place, WA 98466. The listed phone number is (253) 565-2208.

What is Glen Paddock's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Glen Paddock was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.