| NPI | 1700867132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN V CONNOLLY Director 425-228-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2015-11-17 |