Individual
DR. HEATHER MAYCOCK OGILVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
127 E INTERCITY AVE, SUITE A, EVERETT, WA 98208-2732
(206) 595-5771
(425) 355-0626
Mailing address
127 E INTERCITY AVE, SUITE A, EVERETT, WA 98208-2732
(206) 595-5771
(425) 355-0626
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY00002530
WA
103TA0700X
Adult Development & Aging Psychologist
PY 00002530
WA
103TC0700X
Clinical Psychologist
PY 00002530
WA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY 00002530
WA
103TF0000X
Family Psychologist
PY 00002530
WA
103TP2701X
Group Psychotherapy Psychologist
PY 00002530
WA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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