| Dynamic Balance Psychology Pllc | |
|
1505 Shakespeare Dr Centralia WA 98531-8501 | |
| (360) 360-5044 | |
| Not Available |
| Full Name | Dynamic Balance Psychology Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1505 Shakespeare Dr, Centralia, Washington |
| Authorized Official Name and Position | Heidi Rachelle Tennyson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2083730790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Balance Psychology Pllc 1505 Shakespeare Dr Centralia WA 98531-8501 Ph: (360) 360-5044 | Dynamic Balance Psychology Pllc 1505 Shakespeare Dr Centralia WA 98531-8501 Ph: (360) 360-5044 |
| NPI Number | 1265261010 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265261010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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