Individual
MR. KENNETH R ROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
221 E WASHINGTON AVE, DAYTON, WA 99328-1317
(509) 382-1164
(509) 382-1166
Mailing address
511 E RACE ST, DAYTON, WA 99328-1646
(509) 382-1383
(509) 382-1166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002083
WA
Other
Enumeration date
01/11/2007
Last updated
07/09/2007
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