| NPI | 1437362357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L WEEDMAN Office Manager 253-588-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00000474) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |