| NPI | 1790861839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W WALL Clinical Psychologist 206-325-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 485) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |