NPI | 1922408061 |
---|---|
Entity Type | Organization |
Authorized Contact | EVAN FREEDMAN Member 360-734-2664 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
Enumeration Date | 2014-08-26 |
Last Update Date | 2014-08-26 |