Taxonomy Code 103G00000X(103g00000x)
Clinical Neuropsychologist. Providers: 4

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Clinical Neuropsychologist Providers

NPI Name Type Address

1477601789

DR. PSYD Kristine Rae Vandermark Powell

Individual

1800 Cooper Point Rd Sw

Bldg 17

Olympia, WA

1174796833

South Sound Neuropsychology Inc.

Organization

108 22nd Ave Sw

Suite 14

Olympia, WA

1538235908

DR. PH.D. Gary Daniel Southwell

Individual

9643 39th Loop Ne

Olympia, WA

1184376048

Evergreen Psychological Services

Organization

1930 Black Lake Blvd Sw # 102

Olympia, WA

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Taxonomy Code 103G00000X
Display Name Clinical Neuropsychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Clinical Neuropsychologist
Definition A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Clinical Neuropsychologist Codes

Deactivated - Clinical Neuropsychologist

103GC0700X • providers: 0