| Kido Psychological Services Ps | |
|
9013 Ne Highway 99 Ste R Vancouver WA 98665-8943 | |
| (360) 773-9121 | |
| (360) 314-4051 |
| Full Name | Kido Psychological Services Ps |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9013 Ne Highway 99 Ste R, Vancouver, Washington |
| Authorized Official Name and Position | Donna J Johns (PRESIDENT) |
| Authorized Official Contact | 3606089311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kido Psychological Services Ps 9013 Ne Highway 99 Ste R Vancouver WA 98665-8943 Ph: (360) 773-9121 | Kido Psychological Services Ps 9013 Ne Highway 99 Ste R Vancouver WA 98665-8943 Ph: (360) 773-9121 |
| NPI Number | 1205152949 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205152949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY60015408 (Washington) | Primary |
| 251S00000X | Community/behavioral Health | 1936 (Oregon) | Secondary |
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