Organization
SUSAN POOLE, PHD, PLLC
Active
Other names
Sage Spark Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JANETTE POOLE PHD (PSYCHOLOGIST)
(253) 254-5232
Entity
Organization
Contact information
Practice address
3213 N 31ST ST, TACOMA, WA 98407-5901
(253) 254-5232
Mailing address
3213 N 31ST ST, TACOMA, WA 98407-5901
(253) 254-5232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
04/21/2022
Last updated
11/09/2022
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