| NPI | 1558372268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN L HILL Business Owner 253-383-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA 601916936) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA 601916936) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2015-07-21 |