| NPI | 1619401734 |
|---|---|
| Doing Business As | BLUE MOUNTAIN PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMESON C. LONTZ President & Executive Director 509-939-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA py60040765) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |