| NPI | 1679696777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BENNETT WHITEHILL Psychologist 253-984-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00001200) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |