| NPI | 1104045988 |
|---|---|
| Doing Business As | MARY BRIDGE PEDIATRIC PSYCHOLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | VINCE H SCHMITZ CFO 253-459-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |