Patricia L. Gunderson in Medical Lake - Clinical
Patricia L. Gunderson - NPI 1053393652
Patricia L. Gunderson is a Clinical in Medical Lake, Washington. Patricia L. Gunderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia L. Gunderson is 1053393652. The last update date is 2015-01-29.
Patricia L. Gunderson's current location address is 850 Maple Street, Medical Lake, Washington. You can contact this provider via phone number 5095654000 and fax number 5095657015. The mailing address for Patricia L. Gunderson is 850 Maple Street, Medical Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia L. Gunderson |
|---|---|
| Address | 850 Maple Street, Medical Lake, Washington |
| Phone Number | 5095654000 |
| Fax Number | 5095657015 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1053393652 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2015-01-29 |
Provider Mailing Address Detail
| Address | 850 Maple Street |
|---|---|
| City | Medical Lake |
| State | Washington (WA) |
| Post Code | 990220800 |
| Phone Number | 5095654000 |
| Fax Number | 5095657015 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00001727 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8388266 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Patricia L. Gunderson?
The Patricia L. Gunderson has been issued the NPI (National Provider Identifier) 1053393652 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Patricia L. Gunderson is physically located?
The Patricia L. Gunderson is physically situated at the following address: 850 Maple Street, Medical Lake, WA, 990220800.
What is Patricia L. Gunderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Patricia L. Gunderson is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did Patricia L. Gunderson receive its 1053393652 assignment?
The Patricia L. Gunderson was assigned its 1053393652 on 2005-11-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Patricia L. Gunderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Patricia L. Gunderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-29.
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