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Organization

ISUMATAQ CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT LOUIS DRURY PH.D. (PRESIDENT)
(509) 947-6270
Entity
Organization

Contact information

Practice address
750 GEORGE WASHINGTON WAY, SUITE 5, RICHLAND, WA 99352-4247
(509) 947-6270
(509) 946-2011
Mailing address
750 GEORGE WASHINGTON WAY, SUITE 5, RICHLAND, WA 99352-4247
(509) 947-6270
(509) 946-2011

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 1911
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY 1911
PSYCHOLOGY LICENSE #
WA
Enumeration date
11/29/2006
Last updated
08/22/2020
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