Dr. Roderick K Mahurin, Ph.D.
Clinical Neuropsychologist in Edmonds, WA. Individual provider (NPI-1).
NPI number1700907342
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1700907342
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roderick K Mahurin
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY00002281 | WA | Yes |
| 103T00000X | Psychologist | PY00002281 | WA |
Practice location
8318 196th St Sw2nd Floor
Edmonds, WA 98026-6434
Phone 425-640-5601
Mailing address
8318 196th St Sw2nd Floor
Edmonds, WA 98026-6434
Phone 425-640-5601
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