| NPI | 1073851382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S. RIDGWAY Psychologist 509-353-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY2480) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY1912) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2016-12-13 |