Individual
MICHELLE LEA BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2118 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 858-6802
Mailing address
2118 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 858-6802
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY61491995
WA
Other
Enumeration date
06/12/2014
Last updated
09/05/2024
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