| NPI | 1205080041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI LOU SCHWEIGLER Psychologist 425-454-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00001349) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2009-02-25 |