NPI | 1588138333 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON BURDGE Owner 425-753-1836 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TC0700X Psychologist, Clinical | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TP2701X Psychologist, Group Psychotherapy | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2019-01-15 |
Last Update Date | 2019-01-15 |