# WASHINGTON STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Psychology Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861866535
- **Authorized official:** DIANNE PHILLIPS-MILLER PHD (PSYCHOLOGY CLINIC DIRECTORY)
- **Authorized official phone:** (509) 335-3587

## Contact information

- **Practice address:** 305 NE TROY MALL, PULLMAN, WA 99164
- **Practice address phone:** (509) 335-3587
- **Practice address fax:** (509) 335-1030
- **Mailing address:** PO BOX 644820, PULLMAN, WA 99164-4820
- **Mailing address phone:** (509) 335-3587
- **Mailing address fax:** (509) 335-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 01/13/2016