| NPI | 1326266727 |
|---|---|
| Doing Business As | WESTERN WA MEDICAL GROUP DEPT OF PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | VICKI MCGINNIS Privacy Officer 425-259-4041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 601474013) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-08-25 |