| NPI | 1659482925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK A SCOVEL V. President 360-574-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY2484) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-09-17 |