Donna May Lidren in Tacoma - Clinical

Donna May Lidren - NPI 1073534079

Donna May Lidren is a Clinical in Tacoma, Washington. Donna May Lidren practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna May Lidren is 1073534079. The last update date is 2007-07-08.

Donna May Lidren's current location address is 2013 So 19th St, Tacoma, Washington. You can contact this provider via phone number 2533833355 and fax number 2533833627. The mailing address for Donna May Lidren is 2013 So 19th St, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Donna May Lidren
Address 2013 So 19th St, Tacoma, Washington
Phone Number 2533833355
Fax Number 2533833627
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1073534079
Provider Enumeration Date 2006-07-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2013 So 19th St
City Tacoma
State Washington (WA)
Post Code 98405
Phone Number 2533833355
Fax Number 2533833627

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY00001859
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
76471 WA DEPT OF L&I
LI0788 WA REGENCE BS

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FAQs about Donna May Lidren

What is the Donna May Lidren's unique identification number?

The Donna May Lidren has been assigned the NPI (National Provider Identifier) Number 1073534079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Donna May Lidren located?

The Donna May Lidren is located at 2013 So 19Th St, Tacoma, WA 98405.

What is the area of specialization for Donna May Lidren, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Donna May Lidren is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073534079 to Donna May Lidren?

The Centers for Medicare & Medicaid Services originally issued the 1073534079 to Donna May Lidren on 2006-07-22.

As of what date was the information regarding Donna May Lidren, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Donna May Lidren, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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