David W Agnor is a Clinical in Vancouver, Washington. David W Agnor practices all healthcare services and medical treatments related to Clinical. The NPI Number for David W Agnor is 1114971462. The last update date is 2007-07-09.
David W Agnor's current location address is 9340 Ne 76th St, Vancouver, Washington. You can contact this provider via phone number 3602534912 and fax number 3602535710. The mailing address for David W Agnor is 9340 Ne 76th St, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David W Agnor |
|---|---|
| Address | 9340 Ne 76th St, Vancouver, Washington |
| Phone Number | 3602534912 |
| Fax Number | 3602535710 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1114971462 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 9340 Ne 76th St |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986623721 |
| Phone Number | 3602534912 |
| Fax Number | 3602535710 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00001983 |
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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 |
|---|---|---|---|
| 7089816 | WA | -- |
Post Comment/ Review Below
What is the David W Agnor's unique identification number?
The David W Agnor has been assigned the NPI (National Provider Identifier) Number 1114971462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where David W Agnor's facilities are situated?
The facilities of David W Agnor are physically located at the following address: 9340 Ne 76Th St, Vancouver, WA, 986623721.
What is David W Agnor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David W Agnor is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the David W Agnor receive the assignment of its 1114971462 from the Centers for Medicare & Medicaid Services?
The David W Agnor was issued its 1114971462 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information pertaining to David W Agnor most recently updated or revised?
The details related to David W Agnor, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.