Organization
CENTER FOR POSITIVE CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DAVID BERRY PH.D. (PRESIDENT)
(360) 385-1030
Entity
Organization
Contact information
Practice address
1136 WATER ST STE 105, PORT TOWNSEND, WA 98368-6728
(360) 385-1030
(775) 243-9945
Mailing address
1136 WATER ST STE 105, PORT TOWNSEND, WA 98368-6728
(360) 385-1030
(775) 243-9945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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