Organization
NEUROTHRYVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANI NIERENBERG PH.D., BCB (CLINICAL DIRECTOR)
(360) 450-0150
Entity
Organization
Contact information
Practice address
2621 NE 134TH ST, SUITE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Mailing address
2621 NE 134TH ST, SUITE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60263831
WA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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