OrganizationActive
Child Psychology Testing Services PLLC
NPI 1124766357 · Clinical Child & Adolescent Psychologist · Fircrest, WA
Provider details
- NPI number
- 1124766357
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stacey Park, Licensed Psychologist(253) 239-2310
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6314 19th St W Ste 14
Fircrest, WA 98466-6223
Phone: (253) 239-2310
Fax: (253) 239-2311
Approximate (ZIP-level) locationGet directions
Mailing address
6314 19th St W Ste 14
Fircrest, WA 98466-6223
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2022-05-26
- Certified
- 2022-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.