Provider Demographics
NPI:1922972975
Name:REFLECT AND RENEW PSYCHOLOGY PLLC
Entity type:Organization
Organization Name:REFLECT AND RENEW PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOUBO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:360-340-9164
Mailing Address - Street 1:3112 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2752
Mailing Address - Country:US
Mailing Address - Phone:360-340-9164
Mailing Address - Fax:
Practice Address - Street 1:3112 MAIN ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2752
Practice Address - Country:US
Practice Address - Phone:360-340-9164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty