Walla Walla Therapy LLC
Psychologist, Clinical in Walla Walla, WA. Organization (NPI-2).
NPI number1982144549
StatusActive
Last updated in NPPESMar 1, 2017
Details
- NPI
- 1982144549
- Entity type
- Organization (NPI-2)
- Legal business name
- Walla Walla Therapy LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2017
- Last updated
- Mar 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY60588159 | WA | Yes |
Practice location
409 E Sumach StWalla Walla, WA 99362-1202
Phone 360-953-7794
Mailing address
2314 Wainwright PlWalla Walla, WA 99362-9748
Phone 360-953-7794
Authorized official
Sarah Oslund
Clinical Psychologist
3609537794
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