Individual
DR. KIMBERLY LYNN VANGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
VAPSHCS AMERICAN LAKE DIVISION, 116-POC, TACOMA, WA 98493-0001
(253) 583-1688
(253) 589-4163
Mailing address
VAPSHCS AMERICAN LAKE DIVISION, 116-POC, TACOMA, WA 98493-0001
(253) 583-1688
(253) 589-4163
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002993
WA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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