| Organization Name: | ROBERT P. DEVRIES P.S. INC |
| NPI Number: | 1205139045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT PHILLIP DEVRIES (OWNER) |
| Mailing Address: | 1610 Grover St. C-5 Lynden |
| State: | WA US |
| Postal Code: | 982641539 |
| Phone Number: | 3603541234 |
| Fax Number: | 3603547752 |
| NPI Enumeration Date: | 12/17/2010 |
| NPI Last Update Date: | 12/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |