Alex J Ricketts in Beaverton - Psychologist

Alex J Ricketts - NPI 1336162353

Alex J Ricketts is a Psychologist in Beaverton, Oregon. Alex J Ricketts practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Alex J Ricketts is 1336162353. The last update date is 2022-08-01.

Alex J Ricketts's current location address is 16110 Sw Regatta Ln, Beaverton, Oregon. You can contact this provider via phone number 5035337166 and fax number 5032301541. The mailing address for Alex J Ricketts is 16110 Sw Regatta Ln, Beaverton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Alex J Ricketts
Address 16110 Sw Regatta Ln, Beaverton, Oregon
Phone Number 5035337166
Fax Number 5032301541
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1336162353
Provider Enumeration Date 2006-07-25
Last Updated Date 2022-08-01

Provider Mailing Address Detail

Address 16110 Sw Regatta Ln
City Beaverton
State Oregon (OR)
Post Code 970068942
Phone Number 5035337166
Fax Number 5032301541

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1638
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Alex J Ricketts

What is the unique provider identifier assigned to Alex J Ricketts?

The Alex J Ricketts has been issued the NPI (National Provider Identifier) 1336162353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Alex J Ricketts's facilities are geographically located?

The facilities of Alex J Ricketts are physically situated at the following location: 16110 Sw Regatta Ln, Beaverton, OR, 970068942.

What is Alex J Ricketts's area of expertise and its corresponding taxonomy classification?

The Alex J Ricketts's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Alex J Ricketts receive its 1336162353 assignment from the Centers for Medicare & Medicaid Services?

The Alex J Ricketts was assigned its 1336162353 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Alex J Ricketts's details last updated?

The information pertaining to the Alex J Ricketts, including its address, specialty, and other details, was most recently updated on 2022-08-01.

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