Organization
SOUTH WHIDBEY PSYCHOLOGICAL SERVICES, PLLC
Active
Other names
Faulder Colby, Ph.D.; SWPS, PLLC; SWPS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAULDER COLBY PH.D. (OWNER/SOLE MEMBER)
(360) 341-4484
Entity
Organization
Contact information
Practice address
11042 SR 525, SUITE 206, CLINTON, WA 98236-8600
(360) 341-4484
(866) 627-8142
Mailing address
PO BOX 439, CLINTON, WA 98236-0439
(360) 341-4484
(866) 627-8142
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY 00001909
WA
103T00000X
Psychologist
Primary
PY 00001909
WA
103TC0700X
Clinical Psychologist
PY 00001909
WA
103TF0200X
Forensic Psychologist
PY 00001909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017481
—
WA
01
—
DT0357
RAILROAD MEDICARE PIN
WA
Enumeration date
03/03/2012
Last updated
11/30/2012
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