Susan E Demattos is a Psychologist in Renton, Washington. Susan E Demattos practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan E Demattos is 1396789236. The last update date is 2007-07-08.
Susan E Demattos's current location address is 4445 Talbot Rd S, Renton, Washington. You can contact this provider via phone number 4256564055 and fax number 4256565425. The mailing address for Susan E Demattos is 4445 Talbot Rd S, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan E Demattos |
|---|---|
| Address | 4445 Talbot Rd S, Renton, Washington |
| Phone Number | 4256564055 |
| Fax Number | 4256565425 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396789236 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4445 Talbot Rd S |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980556219 |
| Phone Number | 4256564055 |
| Fax Number | 4256565425 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY00002338 |
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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 |
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What is the Susan E Demattos's unique identification number?
The Susan E Demattos has been assigned the NPI (National Provider Identifier) Number 1396789236 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Susan E Demattos located?
The Susan E Demattos is located at 4445 Talbot Rd S, Renton, WA 980556219.
What is Susan E Demattos's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan E Demattos's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396789236 to Susan E Demattos?
The Susan E Demattos received its 1396789236 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information regarding Susan E Demattos most recently updated?
The details pertaining to the Susan E Demattos, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.