Organization Active NPI

Walla Walla Therapy LLC

  • Clinical Psychologist
  • Walla Walla, WA
National Provider Identifier
1982144549
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60588159 Issued in WA
Legal business name
WALLA WALLA THERAPY LLC
Practice address
409 E Sumach St
Walla Walla, WA 99362-1202
Phone
(360) 953-7794
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarah Oslund, PHD
Title
Clinical Psychologist
Phone
(360) 953-7794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY60588159 WA Primary

Addresses

Primary practice location

409 E Sumach St
Walla Walla, WA 99362-1202

Mailing address

2314 Wainwright PL
Walla Walla, WA 99362-9748
Phone (360) 953-7794

National Provider Directory

National Provider Directory

Locations

409 E Sumach St
Walla Walla, WA 99362
Phone (509) 382-2005

409 E Sumach St
Ste 8
Walla Walla, WA 99362
Phone (509) 315-3577

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1982144549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 WAINWRIGHT PL",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993629748",
            "telephone_number": "360-953-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E SUMACH ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621202",
            "telephone_number": "360-953-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "OSLUND",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-953-7794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60588159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.