W Timm Fredrickson in Medical Lake - Psychologist
W Timm Fredrickson - NPI 1679555411
W Timm Fredrickson is a Psychologist in Medical Lake, Washington. W Timm Fredrickson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for W Timm Fredrickson is 1679555411. The last update date is 2007-07-08.
W Timm Fredrickson's current location address is 800 West Maple Street, Medical Lake, Washington. You can contact this provider via phone number 5092993121 and fax number 5092997015. The mailing address for W Timm Fredrickson is 800 West Maple Street, Medical Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | W Timm Fredrickson |
|---|---|
| Address | 800 West Maple Street, Medical Lake, Washington |
| Phone Number | 5092993121 |
| Fax Number | 5092997015 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1679555411 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 800 West Maple Street |
|---|---|
| City | Medical Lake |
| State | Washington (WA) |
| Post Code | 990220800 |
| Phone Number | 5092993121 |
| Fax Number | 5092997015 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY00001283 |
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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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What is the unique 10-digit identifier code assigned to W Timm Fredrickson by the Centers for Medicare & Medicaid Services?
The W Timm Fredrickson has been issued the NPI (National Provider Identifier) 1679555411 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of W Timm Fredrickson?
The W Timm Fredrickson is physically situated at 800 West Maple Street, in the city of Medical Lake, state of WA, with the postal code 990220800.
What is the area of specialization for W Timm Fredrickson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for W Timm Fredrickson is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the W Timm Fredrickson receive the assignment of its 1679555411 from the Centers for Medicare & Medicaid Services?
The W Timm Fredrickson was issued its 1679555411 by the Centers for Medicare & Medicaid Services on 2005-11-17.
As of what date were the details related to W Timm Fredrickson most recently updated or revised?
The information pertaining to W Timm Fredrickson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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