Child & Adolescent Clinic, Ps
NPI #1144275777 in Longview, Washington
Provider Information
- NPI Number
- 1144275777
- Entity Type
- Organization
- Organization Name
- Child & Adolescent Clinic, Ps
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 23, 2006
- Last Updated
- Jul 24, 2018
Practice Location
- Address
- 971 11TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632
- Phone
- (360) 577-1771
Authorized Official
- Name
- DR. PHYLLIS CAVENS, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (360) 577-1771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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