NPI | 1821363540 |
---|---|
Entity Type | Organization |
Authorized Contact | TYSON D BAILEY President/Psychologist 425-931-6450 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60252354) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2012-03-13 |