Angelique Grayson Tindall in Spokane - Clinical Neuropsychologist
Angelique Grayson Tindall - NPI 1912997800
Angelique Grayson Tindall is a Clinical Neuropsychologist in Spokane, Washington. Angelique Grayson Tindall practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Angelique Grayson Tindall is 1912997800. The last update date is 2009-04-14.
Angelique Grayson Tindall's current location address is Po Box 30248, Spokane, Washington. You can contact this provider via phone number 5097684248 and fax number 5093430504. The mailing address for Angelique Grayson Tindall is Po Box 30248, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelique Grayson Tindall |
|---|---|
| Address | Po Box 30248, Spokane, Washington |
| Phone Number | 5097684248 |
| Fax Number | 5093430504 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1912997800 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2009-04-14 |
Provider Mailing Address Detail
| Address | Po Box 30248 |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992233004 |
| Phone Number | 5097684248 |
| Fax Number | 5093430504 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY00001825 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165817 | WA | LABOR & INDUSTRIES |
Post Comment/ Review Below
What is the unique provider identifier assigned to Angelique Grayson Tindall?
The Angelique Grayson Tindall has been issued the NPI (National Provider Identifier) 1912997800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Angelique Grayson Tindall located?
The Angelique Grayson Tindall is located at Po Box 30248, Spokane, WA 992233004.
What is Angelique Grayson Tindall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Angelique Grayson Tindall is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912997800 to Angelique Grayson Tindall?
The Centers for Medicare & Medicaid Services originally issued the 1912997800 to Angelique Grayson Tindall on 2005-10-24.
When was the information pertaining to Angelique Grayson Tindall most recently updated or revised?
The details related to Angelique Grayson Tindall, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-14.
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