# SOUTH WHIDBEY PSYCHOLOGICAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Faulder Colby, Ph.D.; SWPS, PLLC; SWPS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518231893
- **Authorized official:** DR. FAULDER COLBY PH.D. (OWNER/SOLE MEMBER)
- **Authorized official phone:** (360) 341-4484

## Contact information

- **Practice address:** 11042 SR 525, SUITE 206, CLINTON, WA 98236-8600
- **Practice address phone:** (360) 341-4484
- **Practice address fax:** (866) 627-8142
- **Mailing address:** PO BOX 439, CLINTON, WA 98236-0439
- **Mailing address phone:** (360) 341-4484
- **Mailing address fax:** (866) 627-8142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | PY 00001909 | WA | — |
| 103T00000X | Psychologist | PY 00001909 | WA | Yes |
| 103TC0700X | Clinical Psychologist | PY 00001909 | WA | — |
| 103TF0200X | Forensic Psychologist | PY 00001909 | WA | — |

## Other

- **Enumeration date:** 03/03/2012
- **Last updated:** 11/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2017481 | — | WA |
| 01 | — | DT0357 | RAILROAD MEDICARE PIN | WA |