Federal Way Psychology Clinic in Federal Way - Clinical
Federal Way Psychology Clinic - NPI 1962674010
Federal Way Psychology Clinic is a Clinical in Federal Way, Washington. Federal Way Psychology Clinic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Federal Way Psychology Clinic is 1962674010. The last update date is 2008-03-28.
Federal Way Psychology Clinic's current location address is 801 S 336th St, Federal Way, Washington. You can contact this provider via phone number 2538745319 and fax number 2538385586. The mailing address for Federal Way Psychology Clinic is 801 S 336th St, Federal Way, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Federal Way Psychology Clinic |
|---|---|
| Address | 801 S 336th St, Federal Way, Washington |
| Phone Number | 2538745319 |
| Fax Number | 2538385586 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Ruddell Ann Alysa |
| Credentials | PH.D. |
| Telephone Number | 2538745319 |
NPI Number Detail
| NPI Number | 1962674010 |
|---|---|
| Provider Enumeration Date | 2008-03-28 |
| Last Updated Date | 2008-03-28 |
Provider Mailing Address Detail
| Address | 801 S 336th St |
|---|---|
| City | Federal Way |
| State | Washington (WA) |
| Post Code | 980036310 |
| Phone Number | 2538745319 |
| Fax Number | 2538385586 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY1268 |
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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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What is the Federal Way Psychology Clinic's unique identification number?
The Federal Way Psychology Clinic has been assigned the NPI (National Provider Identifier) Number 1962674010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Federal Way Psychology Clinic?
The Federal Way Psychology Clinic is physically situated at 801 S 336Th St, in the city of Federal Way, state of WA, with the postal code 980036310.
What is Federal Way Psychology Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Federal Way Psychology Clinic's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962674010 to Federal Way Psychology Clinic?
The Centers for Medicare & Medicaid Services assigned the 1962674010 to Federal Way Psychology Clinic on 2008-03-28.
When was the information related to Federal Way Psychology Clinic most recently updated or refreshed?
The details pertaining to the Federal Way Psychology Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-28.