NPI | 1215125562 |
---|---|
Entity Type | Organization |
Authorized Contact | LEN DAVID MCCOY Owner 509-338-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00002727) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2008-03-14 |