Organization
JAMES W INGERSOLL PHD INC PS
Active
Organization
JAMES W INGERSOLL PHD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W INGERSOLL PHD (PSYCHOLOGIST/PRESIDENT)
(360) 561-5730
Entity
Organization
Contact information
Practice address
1115 OLYMPIA AVE NE, OLYMPIA, WA 98506-4035
(360) 561-5730
Mailing address
1115 OLYMPIA AVE NE, OLYMPIA, WA 98506-4035
(360) 561-5773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
446
WA
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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