Individual
LINDA CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9330 NE VANCOUVER MALL DRIVE, SUITE 203, VANCOUVER, WA 98662
(360) 694-4662
Mailing address
PO BOX 134, BATTLE GROUND, WA 98604-0134
(360) 694-4662
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1024
WA
103T00000X
Psychologist
Primary
PY00001024
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193080
LABOR & IND.
WA
05
—
022931
—
OR
05
—
8414153
—
WA
01
—
8939878
CRIME VICTIMS
WA
Enumeration date
08/23/2005
Last updated
09/09/2019
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