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Organization
AGATE PASSAGE PSYCHOLOGICAL SERVICES, INC. PS
Active
Organization
AGATE PASSAGE PSYCHOLOGICAL SERVICES, INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE BACHMAN IVEY PH.D. (PRESIDENT)
(206) 842-9949
Entity
Organization
Contact information
Practice address
785 ERICKSEN AVE NE, SUITE 117, BAINBRIDGE ISLAND, WA 98110-1875
(206) 842-9949
(360) 697-1079
Mailing address
785 ERICKSEN AVE NE, SUITE 117, BAINBRIDGE ISLAND, WA 98110-1875
(206) 842-9949
(360) 697-1079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY00001604
WA
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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