| NPI | 1669830774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LYNN PACKARD Psychologist 206-321-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 1613) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA CL60528100) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |