Jan Garver Bacon is a Clinical in Lakewood, Washington. Jan Garver Bacon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jan Garver Bacon is 1457335820. The last update date is 2018-04-18.
Jan Garver Bacon's current location address is 9125 Bridgeport Way Sw Ste 102, Lakewood, Washington. You can contact this provider via phone number 2532548284 and fax number 2532760082. The mailing address for Jan Garver Bacon is 9125 Bridgeport Way Sw Ste 102, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Garver Bacon |
|---|---|
| Address | 9125 Bridgeport Way Sw Ste 102, Lakewood, Washington |
| Phone Number | 2532548284 |
| Fax Number | 2532760082 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1457335820 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2018-04-18 |
Provider Mailing Address Detail
| Address | 9125 Bridgeport Way Sw Ste 102 |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984992448 |
| Phone Number | 2532548284 |
| Fax Number | 2532760082 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00001639 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Jan Garver Bacon by the Centers for Medicare & Medicaid Services (CMS)?
The Jan Garver Bacon has been assigned the NPI (National Provider Identifier) 1457335820. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jan Garver Bacon is physically located?
The Jan Garver Bacon is situated at the following address: 9125 Bridgeport Way Sw Ste 102, Lakewood, WA 984992448.
What is Jan Garver Bacon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jan Garver Bacon is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457335820 to Jan Garver Bacon?
The Centers for Medicare & Medicaid Services originally issued the 1457335820 to Jan Garver Bacon on 2005-11-30.
As of what date was the information regarding Jan Garver Bacon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jan Garver Bacon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-04-18.
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