Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bronson Mandeville

Individual provider Mental Health Counselor · NPI 1730985300

Bronson Mandeville is a Mental Health Counselor in Puyallup, Washington. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

5620 112th St E
Puyallup, WA 98373-3206
Phone: (517) 974-3515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X

Record details

NPI number1730985300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address5620 112th St E, Puyallup, WA 98373-3206

Other providers in Puyallup