| NPI | 1902248396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M OSTROM President/Owner 509-783-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 2822) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |