| NPI | 1700957388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK BRANDON WEEDMAN Clinical Psychologist 425-213-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00003318) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |