Organization
EAST SLOPE NEUROPSYCHOLOGY, INC.
Active
Organization
EAST SLOPE NEUROPSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE KUCERA THOMPSON PH.D. (PRESIDENT)
(509) 966-2961
Entity
Organization
Contact information
Practice address
1015 S 40TH AVE, SUITE 24, YAKIMA, WA 98908-3868
(509) 966-2961
(509) 966-2318
Mailing address
1015 S 40TH AVE, SUITE 24, YAKIMA, WA 98908-3806
(509) 966-2961
(509) 966-2318
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PY 2939
WA
302F00000X
Exclusive Provider Organization
PY2939
WA
Other
Enumeration date
12/14/2007
Last updated
02/01/2008
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