| NPI | 1811079049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J MCNABB Office Manager 360-414-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY1656) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC49825) |
| 101Y00000X Counselor (Licence: WA LH4032) | |
| 103T00000X Psychologist (Licence: WA PY2237) | |
| 103T00000X Psychologist (Licence: WA PY2966) | |
| 103T00000X Psychologist (Licence: WA PY3397) | |
| 103T00000X Psychologist (Licence: WA PY436) | |
| 103T00000X Psychologist (Licence: WA PY3263) | |
| 103T00000X Psychologist (Licence: WA PY2721) | |
| 103T00000X Psychologist (Licence: WA PY1687) | |
| 103T00000X Psychologist (Licence: WA PY2823) | |
| 103T00000X Psychologist (Licence: WA PY1269) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW4474) | |
| 1041C0700X Social Worker, Clinical (Licence: WA SW40002261) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-12-20 |