Organization
PENINSULA PSYCHOLOGICAL CENTER, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT RICHELSON AUTHORIZED OFFICIAL (PRESIDENT)
(904) 605-4983
Entity
Organization
Contact information
Practice address
1191 NW TAHOE, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Mailing address
1191 NW TAHOE LANEPO BOX 3428, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001490
WA
Other
Enumeration date
07/10/2006
Last updated
05/04/2023
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