Angelique Grayson Tindall in Spokane - Health Service

Angelique Grayson Tindall - NPI 1912997800

Angelique Grayson Tindall is a Health Service in Spokane, Washington. Angelique Grayson Tindall practices all healthcare services and medical treatments related to Health Service. The NPI Number for Angelique Grayson Tindall is 1912997800. The last update date is 2009-04-14.

Angelique Grayson Tindall's current location address is Po Box 30248, Spokane, Washington. You can contact this provider via phone number 5097684248 and fax number 5093430504. The mailing address for Angelique Grayson Tindall is Po Box 30248, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Angelique Grayson Tindall
Address Po Box 30248, Spokane, Washington
Phone Number 5097684248
Fax Number 5093430504
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1912997800
Provider Enumeration Date 2005-10-24
Last Updated Date 2009-04-14

Provider Mailing Address Detail

Address Po Box 30248
City Spokane
State Washington (WA)
Post Code 992233004
Phone Number 5097684248
Fax Number 5093430504

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No PY00001825
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
165817 WA LABOR & INDUSTRIES

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FAQs about Angelique Grayson Tindall

What is the unique provider identifier assigned to Angelique Grayson Tindall?

The Angelique Grayson Tindall has been issued the NPI (National Provider Identifier) 1912997800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Angelique Grayson Tindall located?

The Angelique Grayson Tindall is located at Po Box 30248, Spokane, WA 992233004.

What is Angelique Grayson Tindall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Angelique Grayson Tindall is Health Service, and the taxonomy code that categorizes this field of expertise is 103Th0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912997800 to Angelique Grayson Tindall?

The Centers for Medicare & Medicaid Services originally issued the 1912997800 to Angelique Grayson Tindall on 2005-10-24.

When was the information pertaining to Angelique Grayson Tindall most recently updated or revised?

The details related to Angelique Grayson Tindall, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-14.

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