Loren Wilburn Mccollom in Tacoma - Psychologist
Loren Wilburn Mccollom - NPI 1881729002
Loren Wilburn Mccollom is a Psychologist in Tacoma, Washington. Loren Wilburn Mccollom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Loren Wilburn Mccollom is 1881729002. The last update date is 2007-07-08.
Loren Wilburn Mccollom's current location address is 610 112th St E, Tacoma, Washington. You can contact this provider via phone number 2535372574 and fax number 2535372283. The mailing address for Loren Wilburn Mccollom is 610 112th St E, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loren Wilburn Mccollom |
|---|---|
| Address | 610 112th St E, Tacoma, Washington |
| Phone Number | 2535372574 |
| Fax Number | 2535372283 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1881729002 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 610 112th St E |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984453002 |
| Phone Number | 2535372574 |
| Fax Number | 2535372283 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY00001610 |
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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 identification code issued to Loren Wilburn Mccollom by the Centers for Medicare & Medicaid Services?
The Loren Wilburn Mccollom has been assigned the NPI (National Provider Identifier) 1881729002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Loren Wilburn Mccollom is physically located?
The Loren Wilburn Mccollom is physically situated at the following address: 610 112Th St E, Tacoma, WA, 984453002.
What is Loren Wilburn Mccollom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Loren Wilburn Mccollom's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881729002 to Loren Wilburn Mccollom?
The Centers for Medicare & Medicaid Services assigned the 1881729002 to Loren Wilburn Mccollom on 2007-02-21.
As of what date were the details pertaining to Loren Wilburn Mccollom last refreshed?
The information related to the Loren Wilburn Mccollom, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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