Individual
DR. IBRAHIM KURDIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
945 11TH AVE, SUITE B, LONGVIEW, WA 98632-2555
(360) 414-8600
(360) 636-7372
Mailing address
2621 NE 134TH ST, STE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60523286
WA
Other
Enumeration date
12/04/2014
Last updated
07/08/2016
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