| NPI | 1043459688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA SUE CHENOWETH Licensed Psychologist 360-696-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00003694) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |