Kenneth A Shultz Edd Ps in Vancouver - Psychologist

Kenneth A Shultz Edd Ps - NPI 1568444776

Kenneth A Shultz Edd Ps is a Psychologist in Vancouver, Washington. Kenneth A Shultz Edd Ps practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kenneth A Shultz Edd Ps is 1568444776. The last update date is 2007-10-30.

Kenneth A Shultz Edd Ps's current location address is 7600 Ne 41st St, Vancouver, Washington. You can contact this provider via phone number 3605671665 and fax number 3602533196. The mailing address for Kenneth A Shultz Edd Ps is 7600 Ne 41st St, Vancouver, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenneth A Shultz Edd Ps
Address 7600 Ne 41st St, Vancouver, Washington
Phone Number 3605671665
Fax Number 3602533196
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Shultz A Kenneth
Credentials EDD
Telephone Number 3605671665

NPI Number Detail

NPI Number 1568444776
Provider Enumeration Date 2005-11-15
Last Updated Date 2007-10-30

Provider Mailing Address Detail

Address 7600 Ne 41st St
City Vancouver
State Washington (WA)
Post Code 986626728
Phone Number 3605671665
Fax Number 3602533196

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY760
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 Kenneth A Shultz Edd Ps

What is the unique 10-digit identification code assigned to Kenneth A Shultz Edd Ps by the Centers for Medicare & Medicaid Services?

The Kenneth A Shultz Edd Ps has been issued the NPI (National Provider Identifier) 1568444776, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kenneth A Shultz Edd Ps's facilities are situated?

The facilities of Kenneth A Shultz Edd Ps are physically located at the following address: 7600 Ne 41St St, Vancouver, WA, 986626728.

What is Kenneth A Shultz Edd Ps's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenneth A Shultz Edd Ps is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

When did the Kenneth A Shultz Edd Ps receive its 1568444776?

The Kenneth A Shultz Edd Ps was issued its 1568444776 on 2005-11-15, which is the date when the organization was assigned this unique identifier.

When was the information regarding Kenneth A Shultz Edd Ps most recently updated?

The details pertaining to the Kenneth A Shultz Edd Ps, including its address, specialty, and other relevant information, were last refreshed on 2007-10-30.

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