Individual
LINDA NOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10000 NE 7TH AVE STE 215, VANCOUVER, WA 98685-4542
(360) 574-9565
Mailing address
10000 NE 7TH AVE STE 215, VANCOUVER, WA 98685-4542
(360) 574-9565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1195
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1195
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1195
STATE LICENSE NUMBER
OR
01
—
PY00002821
STATE LICENSE NUMBER
WA
Enumeration date
11/07/2013
Last updated
11/07/2013
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