Organization
CENTER FOR POSITIVE CHANGE LLC
Active
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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