Individual
ISABELLE OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 403-1400
Mailing address
3911 N 25TH ST APT 403, TACOMA, WA 98406-5322
(812) 360-8409
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSYC.PY.60985192
WA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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