Carla Van Dam, PHD

NPI #1548773997 in Tumwater, Washington

Provider Information

NPI Number: 1548773997
Entity Type: Individual
Name: Carla Van Dam, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Nov 8, 2017
Last Updated: Jun 16, 2018

Practice Location

Address: 2620 RW JOHNSON BLVD SW SUITE 204
City: Tumwater
State: Washington
ZIP Code: 98501
Phone: (360) 956-0271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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