Agate Passage Psychological Services, Inc. Ps
NPI #1760522627 in Bainbridge Island, Washington
Provider Information
- NPI Number
- 1760522627
- Entity Type
- Organization
- Organization Name
- Agate Passage Psychological Services, Inc. Ps
- Primary Specialty
- Psychologist
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 785 ERICKSEN AVE NE
- Address 2
- SUITE 117
- State
- Washington
- ZIP Code
- 98110-1875
- Phone
- (206) 842-9949
Authorized Official
- Name
- DR. SUZANNE BACHMAN IVEY, PH.D.
- Title
- PRESIDENT
- Phone
- (206) 842-9949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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