Individual
DR. CAROL ANN PAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
945 11TH AVE, #B, LONGVIEW, WA 98632
(360) 414-8600
(360) 636-7372
Mailing address
945 11TH AVE, #B, LONGVIEW, WA 98632
(360) 414-8600
(360) 636-7372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY1687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8921392
CRIME VICTIMS
WA
01
—
98632A009
TRECARE
WA
Enumeration date
08/31/2006
Last updated
11/16/2011
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