Tae-Im Moon in Richland - Clinical

Tae-Im Moon - NPI 1295815249

Tae-Im Moon is a Clinical in Richland, Washington. Tae-Im Moon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tae-Im Moon is 1295815249. The last update date is 2007-07-08.

Tae-Im Moon's current location address is 750 George Washington Way, Richland, Washington. You can contact this provider via phone number 5099467012 and fax number 5099468475. The mailing address for Tae-Im Moon is 750 George Washington Way, Richland, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Tae-Im Moon
Address 750 George Washington Way, Richland, Washington
Phone Number 5099467012
Fax Number 5099468475
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1295815249
Provider Enumeration Date 2006-10-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 750 George Washington Way
City Richland
State Washington (WA)
Post Code 99352
Phone Number 5099467012
Fax Number 5099468475

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1767
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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FAQs about Tae-Im Moon

What is the unique identifier code issued to Tae-Im Moon by the Centers for Medicare & Medicaid Services (CMS)?

The Tae-Im Moon has been assigned the NPI (National Provider Identifier) 1295815249. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Tae-Im Moon's facilities are situated?

The facilities of Tae-Im Moon are physically located at the following address: 750 George Washington Way, Richland, WA, 99352.

What is the Tae-Im Moon's specialty and taxonomy code?

The Tae-Im Moon's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did Tae-Im Moon receive its 1295815249 assignment from the Centers for Medicare & Medicaid Services?

The Tae-Im Moon was assigned its 1295815249 on 2006-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Tae-Im Moon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tae-Im Moon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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