| NPI | 1134393580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY WAYNE SHAPIRO President 425-453-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA 000414) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |