Organization
SPOKANE SENIOR PSYCHOLOGY LLC
Active
Other names
Senior Connections
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W AGNOR PHD (EXECUTIVE DIRECTOR)
(360) 253-4912
Entity
Organization
Contact information
Practice address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001983
WA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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