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Organization
CHILDREN'S BEHAVIORAL MEDICINE COLLABORATIVE, PLLC
Active
Organization
CHILDREN'S BEHAVIORAL MEDICINE COLLABORATIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA RAYLS PH.D. (PSYCHOLOGIST)
(253) 256-3626
Entity
Organization
Contact information
Practice address
2412 N 30TH ST STE 201, TACOMA, WA 98407-6372
(253) 256-3626
Mailing address
2412 N 30TH ST STE 201, TACOMA, WA 98407-6372
(253) 256-3626
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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