Providence Health & Services Washington in Olympia - Psychologist
Providence Health & Services Washington - NPI 1619176997
Providence Health & Services Washington is a Psychologist in Olympia, Washington. Providence Health & Services Washington practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Providence Health & Services Washington is 1619176997. The last update date is 2017-10-31.
Providence Health & Services Washington's current location address is 413 Lilly Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604919480. The mailing address for Providence Health & Services Washington is 413 Lilly Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services Washington |
|---|---|
| Address | 413 Lilly Rd Ne, Olympia, Washington |
| Phone Number | 3604919480 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR R |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1619176997 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2017-10-31 |
Provider Mailing Address Detail
| Address | 413 Lilly Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065133 |
| Phone Number | 3604919480 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9317108 | WA | -- | |
| 8901337 | WA | L&I CRIME VICTIMS | |
| 129210 | WA | L&I |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Health & Services Washington by the Centers for Medicare & Medicaid Services?
The Providence Health & Services Washington has been assigned the NPI (National Provider Identifier) 1619176997. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Providence Health & Services Washington's facilities are situated?
The facilities of Providence Health & Services Washington are physically located at the following address: 413 Lilly Rd Ne, Olympia, WA, 985065133.
What is the Providence Health & Services Washington's area of specialization and corresponding taxonomy classification?
The Providence Health & Services Washington's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Providence Health & Services Washington receive its 1619176997 assignment from the Centers for Medicare & Medicaid Services?
The Providence Health & Services Washington was assigned its 1619176997 by the Centers for Medicare & Medicaid Services on 2007-07-16.
As of what date were the Providence Health & Services Washington's details last updated?
The information pertaining to the Providence Health & Services Washington, including its address, specialty, and other details, was most recently updated on 2017-10-31.
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