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Organization
RIVER VALLEY PSYCHOLOGICAL SERVICES
Active
Organization
RIVER VALLEY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN V CONNOLLY PHD (DIRECTOR)
(425) 228-5336
Entity
Organization
Contact information
Practice address
600 OAKESDALE AVE SW, STE 104, RENTON, WA 98057-5226
(425) 228-5336
(425) 228-4540
Mailing address
600 OAKESDALE AVE SW, STE 104, RENTON, WA 98057-5226
(425) 228-5336
(425) 228-4540
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/11/2005
Last updated
11/17/2015
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