Organization
AGATE PASSAGE PSYCHOLOGICAL SERVICES, INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE BACHMAN IVEY PH.D. (PRESIDENT)
(206) 842-9949
Entity
Organization
Contact information
Practice address
785 ERICKSEN AVE NE, SUITE 117, BAINBRIDGE ISLAND, WA 98110-1875
(206) 842-9949
(360) 697-1079
Mailing address
785 ERICKSEN AVE NE, SUITE 117, BAINBRIDGE ISLAND, WA 98110-1875
(206) 842-9949
(360) 697-1079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY00001604
WA
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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