Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Geromedical Psychological Service Ps

Organization Clinical Psychologist · NPI 1659482925

Geromedical Psychological Service Ps is a Clinical Psychologist in Vancouver, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2006
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Practice location Address checks out

2400 Main St
Vancouver, WA 98660-2663
Phone: (360) 574-9565
Fax: (360) 574-9685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10000 Ne 7th Ave, Vancouver, WA 98685-4542 — (360) 574-9565

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY2484 (WA)

Record details

NPI number1659482925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derick Scovel — V. President · (360) 574-9565
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address2400 Main St, Vancouver, WA 98660-2663

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