Organization
THRIVE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA V WEATHERBY PH.D. (PRESIDENT/LICENSED PSYCHOLOGIST)
(360) 719-2852
Entity
Organization
Contact information
Practice address
1101 BROADWAY ST STE 230, VANCOUVER, WA 98660-3320
(360) 719-2852
(888) 808-8143
Mailing address
1101 BROADWAY ST STE 230, VANCOUVER, WA 98660-3320
(888) 808-8143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003931
WA
106H00000X
Marriage & Family Therapist
LF00002510
WA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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