Individual
MRS. REBECCA RUTH MUIRHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
920 ALDER AVE STE 203A, SUMNER, WA 98390-1458
(253) 308-8160
Mailing address
4457 185TH AVE E, LAKE TAPPS, WA 98391-9112
(513) 403-5811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
60701887
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY24595
CA
390200000X
Student in an Organized Health Care Education/Training Program
31881032701
OH
Other
Enumeration date
12/11/2006
Last updated
07/10/2024
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