NPI | 1932595303 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES W INGERSOLL Psychologist/President 360-561-5730 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 446) |
Enumeration Date | 2015-04-12 |
Last Update Date | 2015-04-12 |