Organization
SUMMIT CONSULTING GROUP, INC.
Active
Other names
Timothy M. Reisenauer PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY M REISENAUER PHD (CLINICAL PSYCHOLOGIST)
(425) 385-3262
Entity
Organization
Contact information
Practice address
15418 MAIN STREET, SUITE 301, MILL CREEK, WA 98012
(425) 358-3262
(425) 357-0924
Mailing address
15418 MAIN STREET, SUITE 301, MILL CREEK, WA 98012
(425) 358-3262
(425) 357-0924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1287
WA
Other
Enumeration date
12/18/2006
Last updated
04/16/2014
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