Federal Way Psychology Clinic | |
801 S 336th St Federal Way WA 98003-6310 | |
(253) 874-5319 | |
(253) 838-5586 |
Full Name | Federal Way Psychology Clinic |
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Speciality | Psychologist - Clinical |
Location | 801 S 336th St, Federal Way, Washington |
Authorized Official Name and Position | Alysa Ann Ruddell (PSYCHOLOGIST) |
Authorized Official Contact | 2538745319 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Federal Way Psychology Clinic 801 S 336th St Federal Way WA 98003-6310 Ph: (253) 874-5319 | Federal Way Psychology Clinic 801 S 336th St Federal Way WA 98003-6310 Ph: (253) 874-5319 |
NPI Number | 1962674010 |
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Provider Enumeration Date | 03/28/2008 |
Last Update Date | 03/28/2008 |
Identifier | Type | State | Issuer |
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1962674010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY1268 (Washington) | Primary |
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