| NPI | 1437973070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY VOGEL President 253-400-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |