South Whidbey Psychological Services, Pllc

NPI #1518231893 in Clinton, Washington

Provider Information

NPI Number: 1518231893
Entity Type: Organization
Organization Name: South Whidbey Psychological Services, Pllc
Primary Specialty: Psychologist
Enumeration Date: Mar 3, 2012
Last Updated: Nov 30, 2012

Practice Location

Address: 11042 SR 525
Address 2: SUITE 206
City: Clinton
State: Washington
ZIP Code: 98236-8600
Phone: (360) 341-4484

Authorized Official

Name: DR. FAULDER COLBY, PH.D.
Title: OWNER/SOLE MEMBER
Phone: (360) 341-4484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Forensic — Forensic	103TF0200X
Psychologist	103T00000X	Primary

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