| NPI | 1982694923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT SHARP Clinic Director 509-747-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2019-06-17 |