Organization
SUSAN B. PALMER-ANSORG, PH.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN BETH PALMER-ANSORG PH.D. (OWNER)
(425) 357-8023
Entity
Organization
Contact information
Practice address
16000 BOTHELL EVERETT HWY, SUITE 200, MILL CREEK, WA 98012-1742
(425) 357-8023
Mailing address
16000 BOTHELL EVERETT HWY, SUITE 200, MILL CREEK, WA 98012-1742
(425) 357-8023
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
WA2532
WA
Other
Enumeration date
11/03/2006
Last updated
10/19/2015
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