| NPI | 1568525251 |
|---|---|
| Doing Business As | TIMOTHY M. REISENAUER PHD |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M REISENAUER Clinical Psychologist 425-385-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 1287) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-04-16 |