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Organization
CHILD PSYCHOLOGY TESTING SERVICES PLLC
Active
Organization
CHILD PSYCHOLOGY TESTING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY PARK PHD (LICENSED PSYCHOLOGIST)
(253) 239-2310
Entity
Organization
Contact information
Practice address
6314 19TH ST W STE 14, FIRCREST, WA 98466-6223
(253) 239-2310
(253) 239-2311
Mailing address
6314 19TH ST W STE 14, FIRCREST, WA 98466-6223
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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