Premier Therapeutic Experience
NPI #1639438955 in Redmond, Washington
Provider Information
- NPI Number
- 1639438955
- Entity Type
- Organization
- Organization Name
- Premier Therapeutic Experience
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- May 7, 2012
- Last Updated
- May 7, 2012
Practice Location
- Address
- 8105 166TH AVE NE
- Address 2
- SUITE 202
- City
- Redmond
- State
- Washington
- ZIP Code
- 98052-3999
- Phone
- (253) 970-0779
Authorized Official
- Name
- BRANDON E. STOGSDILL, LMHC, CDPT
- Title
- CLINICIAN
- Phone
- (253) 970-0779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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