Organization
PACIFIC PSYCHOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PRINSTER (OWNER)
(360) 734-2664
Entity
Organization
Contact information
Practice address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(360) 734-2664
(360) 671-8006
Mailing address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(360) 734-2664
(360) 671-8006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003717
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251572
—
WA
Enumeration date
11/12/2009
Last updated
11/12/2009
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