| NPI | 1396874640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY B WEATHERS President 509-448-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 789) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA 581) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |