Organization
DYNAMIC BALANCE PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI RACHELLE TENNYSON PSY.D. (PSYCHOLOGIST)
(360) 360-5044
Entity
Organization
Contact information
Practice address
1505 SHAKESPEARE DR, CENTRALIA, WA 98531-8501
(360) 360-5044
Mailing address
1121 HARRISON AVE # 269, CENTRALIA, WA 98531-1852
(360) 360-5044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
09/04/2025
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