| Child Psychology Testing Services Pllc | |
|
6314 19th St W Ste 14 Fircrest WA 98466-6223 | |
| (253) 239-2310 | |
| (253) 239-2311 |
| Full Name | Child Psychology Testing Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 6314 19th St W Ste 14, Fircrest, Washington |
| Authorized Official Name and Position | Stacey Park (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2532392310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Psychology Testing Services Pllc 6314 19th St W Ste 14 Fircrest WA 98466-6223 Ph: () - | Child Psychology Testing Services Pllc 6314 19th St W Ste 14 Fircrest WA 98466-6223 Ph: (253) 239-2310 |
| NPI Number | 1124766357 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124766357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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