Organization
KIDO PSYCHOLOGICAL SERVICES PS
Active
Organization
KIDO PSYCHOLOGICAL SERVICES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA J JOHNS PSY.D. (PRESIDENT)
(360) 608-9311
Entity
Organization
Contact information
Practice address
9013 NE HIGHWAY 99 STE R, VANCOUVER, WA 98665-8943
(360) 773-9121
(360) 314-4051
Mailing address
9013 NE HIGHWAY 99 STE R, VANCOUVER, WA 98665-8943
(360) 773-9121
(360) 314-4051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1936
OR
251S00000X
Community/Behavioral Health Agency
Primary
PY60015408
WA
Other
Enumeration date
04/19/2010
Last updated
11/04/2024
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