Individual
DR. GWYNNE ODETTE KOHL
Active
Individual
DR. GWYNNE ODETTE KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.PY60399151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11852
AUTHORITY TO PRACTICE TELEPSYCHOLOGY (APIT) E. PASSPORT
—
Enumeration date
11/13/2006
Last updated
10/20/2023
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