| Wonder Tree Developmental Psychology, A Professional Organization | |
|
601 Main St Ste 200 Vancouver WA 98660-3404 | |
| (626) 319-9467 | |
| Not Available |
| Full Name | Wonder Tree Developmental Psychology, A Professional Organization |
|---|---|
| Speciality | Psychologist |
| Location | 601 Main St Ste 200, Vancouver, Washington |
| Authorized Official Name and Position | Ashley Taylor Dougherty (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6263199467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonder Tree Developmental Psychology, A Professional Organization 22804 Ne 185th Cir Brush Prairie WA 98606-8301 Ph: (626) 319-9467 | Wonder Tree Developmental Psychology, A Professional Organization 601 Main St Ste 200 Vancouver WA 98660-3404 Ph: (626) 319-9467 |
| NPI Number | 1912786997 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912786997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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