# WONDER TREE DEVELOPMENTAL PSYCHOLOGY, A PROFESSIONAL ORGANIZATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912786997
- **Authorized official:** ASHLEY TAYLOR DOUGHERTY PSY.D. (OWNER/PSYCHOLOGIST)
- **Authorized official phone:** (626) 319-9467

## Contact information

- **Practice address:** 601 MAIN ST STE 200, VANCOUVER, WA 98660-3404
- **Practice address phone:** (626) 319-9467
- **Mailing address:** 22804 NE 185TH CIR, BRUSH PRAIRIE, WA 98606-8301
- **Mailing address phone:** (626) 319-9467

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2023
- **Last updated:** 09/27/2023