NPI | 1639685241 |
---|---|
Other Name | TUESDAY BURNS |
Other Name | JAMES LOLLEY |
Entity Type | Organization |
Authorized Contact | JAMES EDWARD LOLLEY Co Owner 206-432-9020 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60345764) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2018-09-12 |