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NEUROPSYCHOLOGICAL SERVICES OF PORT TOWNSEND, PLLC

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Company Details

Legal Name: NEUROPSYCHOLOGICAL SERVICES OF PORT TOWNSEND, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 20th 2018
Date of Dissolution: May 3rd 2021
Expiration date: 31 Dec 2020
UBI Number: 604 353 564
ZIP code: 98368
City: Port Townsend
County: JEFFERSON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1322 WASHINGTON ST # 17, PORT TOWNSEND, WA, 98368-6862, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1322 WASHINGTON ST # 17, PO BOX 1733, PORT TOWNSEND, WA, 98368-6862, UNITED STATES

Contact Details

E-Mail: DDAVIS@EPHS.COM

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
DIANA DAVIS Registered Agent 1322 WASHINGTON ST # 17, PORT TOWNSEND, WA, 98368-6862, UNITED STATES

Key Officers & Management

Name Role Address
DIANA DAVIS Executor 1322 WASHINGTON ST #17, PO BOX 1733, PORT TOWNSEND, WA, 98368, UNITED STATES
DIANA DAVIS Governing Person -

National Provider Identifier

NPI Number:
1841665841

Authorized Person:

Name:
DR. DIANA L DAVIS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

Fax:
3603448429
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