Whalio Doctors

NPI 1477601789

Kristine Rae Vandermark Powell, PSYD

Practitioner Clinical Neuropsychologist Olympia, WA

Practice location

Address
1800 Cooper Point Rd SW Bldg 17, Olympia, WA 98502-1178
Phone
(360) 352-4602
Mailing address
7825 Canterwood Dr SE, Olympia, WA 98513-6520

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY00002568 (WA)

Registry record

NPI
1477601789
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.