LEAPSS AND BEYOND

MUKILTEO, WA
NPI1104105816
Entity TypeOrganization
Authorized ContactEDWYN W ORTIZ-NANCE
Clinicaland Neuropsychologist
559-824-8934
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
(Licence: WA  PS60221926)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: WA  PY60221926)
103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: WA  PY60221926)
103TP2701X Psychologist, Group Psychotherapy
(Licence: WA  PY60221926)
Enumeration Date2011-08-11
Last Update Date2011-08-11
Business Address
LEAPSS AND BEYOND
413 LINCOLN AVE STE A
MUKILTEO, WA 98275-1524
Phone number: 559-314-4696
Mailing Address
LEAPSS AND BEYOND
413 LINCOLN AVE STE A
MUKILTEO, WA 98275-1524
Phone number: 559-314-4696