Holly Ridge Center in Bremerton - Clinical Child & Adolescent
Holly Ridge Center - NPI 1861549206
Holly Ridge Center is a Clinical Child & Adolescent in Bremerton, Washington. Holly Ridge Center practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Holly Ridge Center is 1861549206. The last update date is 2020-08-22.
Holly Ridge Center's current location address is 5112 Nw Taylor Rd, Bremerton, Washington. You can contact this provider via phone number 3603732536 and fax number 3603734934. The mailing address for Holly Ridge Center is 5112 Nw Taylor Rd, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holly Ridge Center |
|---|---|
| Address | 5112 Nw Taylor Rd, Bremerton, Washington |
| Phone Number | 3603732536 |
| Fax Number | 3603734934 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bryson Roxanne |
| Telephone Number | 3603732536 |
NPI Number Detail
| NPI Number | 1861549206 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5112 Nw Taylor Rd |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 983128837 |
| Phone Number | 3603732536 |
| Fax Number | 3603734934 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7007271 | WA | -- | |
| 7017742 | WA | -- | |
| 7660228 | WA | -- |
Post Comment/ Review Below
What is the Holly Ridge Center's 1861549206?
The Holly Ridge Center's NPI (National Provider Identifier) Number is 1861549206. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Holly Ridge Center's facilities are situated?
The facilities of Holly Ridge Center are physically located at the following address: 5112 Nw Taylor Rd, Bremerton, WA, 983128837.
What is Holly Ridge Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Holly Ridge Center is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861549206 to Holly Ridge Center?
The Holly Ridge Center received its 1861549206 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date was the information regarding Holly Ridge Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Holly Ridge Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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