| 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 |