Organization
JAN L. NIX, PH.D., PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN NIX PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(360) 705-1675
Entity
Organization
Contact information
Practice address
202 PHOENIX ST NE, OLYMPIA, WA 98506-4850
(360) 705-1675
Mailing address
202 PHOENIX ST NE, OLYMPIA, WA 98506-4850
(360) 705-1675
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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