Vashon Lutheran Church in Vashon - Clinical
Vashon Lutheran Church - NPI 1336205749
Vashon Lutheran Church is a Clinical in Vashon, Washington. Vashon Lutheran Church practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vashon Lutheran Church is 1336205749. The last update date is 2020-08-22.
Vashon Lutheran Church's current location address is 11628 103rd Ave Sw, Vashon, Washington. You can contact this provider via phone number 2064636359. The mailing address for Vashon Lutheran Church is 11628 103rd Ave Sw, Vashon, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Vashon Lutheran Church |
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Address | 11628 103rd Ave Sw, Vashon, Washington |
Phone Number | 2064636359 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PSYCHOLOGI |
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Authorized Official Name | Larson J Jeffrey |
Credentials | PH.D. |
Telephone Number | 2064636359 |
NPI Number Detail
NPI Number | 1336205749 |
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Provider Enumeration Date | 2006-12-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 11628 103rd Ave Sw |
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City | Vashon |
State | Washington (WA) |
Post Code | 980703106 |
Phone Number | 2064636359 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 1608 |
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 Vashon Lutheran Church by the Centers for Medicare & Medicaid Services?
The Vashon Lutheran Church has been issued the NPI (National Provider Identifier) 1336205749. This 10-digit code 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 Vashon Lutheran Church's facilities are situated?
The facilities of Vashon Lutheran Church are physically located at the following address: 11628 103Rd Ave Sw, Vashon, WA, 980703106.
What is Vashon Lutheran Church's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vashon Lutheran Church's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Vashon Lutheran Church receive its 1336205749 assignment from the Centers for Medicare & Medicaid Services?
The Vashon Lutheran Church was assigned its 1336205749 by the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the information pertaining to Vashon Lutheran Church most recently updated or revised?
The details related to Vashon Lutheran Church, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.