Individual
MARYANN KRISTIN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19813 NE 13TH ST, CAMAS, WA 98607-7612
(360) 514-1986
Mailing address
19813 NE 13TH ST, CAMAS, WA 98607-7612
(360) 514-1986
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001686
VA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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