# SUSAN B. PALMER-ANSORG, PH.D. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316026263
- **Authorized official:** DR. SUSAN BETH PALMER-ANSORG PH.D. (OWNER)
- **Authorized official phone:** (425) 357-8023

## Contact information

- **Practice address:** 16000 BOTHELL EVERETT HWY, SUITE 200, MILL CREEK, WA 98012-1742
- **Practice address phone:** (425) 357-8023
- **Mailing address:** 16000 BOTHELL EVERETT HWY, SUITE 200, MILL CREEK, WA 98012-1742
- **Mailing address phone:** (425) 357-8023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | WA2532 | WA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 10/19/2015