| Storm Psychological Services | |
|
1205 Se Professional Mall Blvd Ste 204 Pullman WA 99163-5423 | |
| (509) 570-3302 | |
| Not Available |
| Full Name | Storm Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1205 Se Professional Mall Blvd Ste 204, Pullman, Washington |
| Authorized Official Name and Position | Dakota Storm Mauzay (PART OWNER) |
| Authorized Official Contact | 5095703302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Storm Psychological Services 1205 Se Professional Mall Blvd Ste 204 Pullman WA 99163-5423 Ph: () - | Storm Psychological Services 1205 Se Professional Mall Blvd Ste 204 Pullman WA 99163-5423 Ph: (509) 570-3302 |
| NPI Number | 1275239949 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/03/2023 |
| Certification Date | 01/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275239949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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