Organization
MIND BODY PROFESSIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN BEUTLER EDD (MANAGER)
(253) 278-9292
Entity
Organization
Contact information
Practice address
15406 MERIDIAN E STE 103, PUYALLUP, WA 98375-9504
(253) 278-9292
(253) 604-6237
Mailing address
PO BOX 1331, PUYALLUP, WA 98371-0243
(253) 278-9292
(253) 604-6237
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60318110
WA
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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