| NPI | 1790089001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE PATRICK O'CONNOR Clinical Psychologist 253-228-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60114577) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |