Keith Sonnanburg is a Clinical in Mukilteo, Washington. Keith Sonnanburg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith Sonnanburg is 1982756631. The last update date is 2022-06-10.
Keith Sonnanburg's current location address is 11700 Mukilteo Speedway # 201-1225, Mukilteo, Washington. You can contact this provider via phone number 2068179145. The mailing address for Keith Sonnanburg is 11700 Mukilteo Speedway # 201-1225, Mukilteo, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Sonnanburg |
|---|---|
| Address | 11700 Mukilteo Speedway # 201-1225, Mukilteo, Washington |
| Phone Number | 2068179145 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1982756631 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2022-06-10 |
Provider Mailing Address Detail
| Address | 11700 Mukilteo Speedway # 201-1225 |
|---|---|
| City | Mukilteo |
| State | Washington (WA) |
| Post Code | 982755432 |
| Phone Number | 2068179145 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY 1704 |
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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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What is the unique identification code assigned to Keith Sonnanburg by the Centers for Medicare & Medicaid Services?
The Keith Sonnanburg has been issued the NPI (National Provider Identifier) 1982756631. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Keith Sonnanburg is located?
The Keith Sonnanburg is situated at the following address: 11700 Mukilteo Speedway # 201-1225, Mukilteo, WA, 982755432.
What is Keith Sonnanburg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith Sonnanburg is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982756631 to Keith Sonnanburg?
The Centers for Medicare & Medicaid Services assigned the 1982756631 to Keith Sonnanburg on 2007-01-16.
As of what date were the Keith Sonnanburg's details last updated?
The information pertaining to the Keith Sonnanburg, including its address, specialty, and other details, was most recently updated on 2022-06-10.