| NPI | 1639393531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B. COPPEL Clinical Psychologist 425-822-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA 802) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 802) |
| 103TE1100X Psychologist, Exercise & Sports (Licence: WA 802) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |