Organization
FEDERAL WAY PSYCHOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSA ANN RUDDELL PH.D. (PSYCHOLOGIST)
(253) 874-5319
Entity
Organization
Contact information
Practice address
801 S 336TH ST, FEDERAL WAY, WA 98003-6310
(253) 874-5319
(253) 838-5586
Mailing address
801 S 336TH ST, FEDERAL WAY, WA 98003-6310
(253) 874-5319
(253) 838-5586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1268
WA
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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