| Laurie J Smith Laurie J Wilson | |
|
1256 Se Bishop Boulevard Suite M Pullman WA 99163-2413 | |
| (509) 595-5225 | |
| (509) 334-5515 |
| Full Name | Laurie J Smith Laurie J Wilson |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1256 Se Bishop Boulevard, Pullman, Washington |
| Authorized Official Name and Position | Laurie J Smith (OWNER / PSYCHOLOGIST) |
| Authorized Official Contact | 5095955225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie J Smith Laurie J Wilson Po Box 462 Pullman WA 99163-2413 Ph: (509) 595-5225 | Laurie J Smith Laurie J Wilson 1256 Se Bishop Boulevard Suite M Pullman WA 99163-2413 Ph: (509) 595-5225 |
| NPI Number | 1891992293 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891992293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1626 (Washington) | Primary |
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