Provider Demographics
NPI:1447934567
Name:AADLAND PSYCHOLOGICAL, PLLC
Entity type:Organization
Organization Name:AADLAND PSYCHOLOGICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:AADLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:503-453-3020
Mailing Address - Street 1:7720 NE HIGHWAY 99 STE D679
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8858
Mailing Address - Country:US
Mailing Address - Phone:360-531-6729
Mailing Address - Fax:
Practice Address - Street 1:7720 NE HIGHWAY 99 STE D679
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8858
Practice Address - Country:US
Practice Address - Phone:360-531-6729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty