# RIVER VALLEY PSYCHOLOGICAL SERVICES

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

## Provider details

- **NPI number:** 1700867132
- **Authorized official:** DR. KEVIN V CONNOLLY PHD (DIRECTOR)
- **Authorized official phone:** (425) 228-5336

## Contact information

- **Practice address:** 600 OAKESDALE AVE SW, STE 104, RENTON, WA 98057-5226
- **Practice address phone:** (425) 228-5336
- **Practice address fax:** (425) 228-4540
- **Mailing address:** 600 OAKESDALE AVE SW, STE 104, RENTON, WA 98057-5226
- **Mailing address phone:** (425) 228-5336
- **Mailing address fax:** (425) 228-4540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 11/17/2015