| Franciscan Psychology-neuropsychology Services @ St Joseph | |
|
1812 S J St Ste 220 Tacoma WA 98405-4964 | |
| (253) 426-6762 | |
| (253) 426-6224 |
| Full Name | Franciscan Psychology-neuropsychology Services @ St Joseph |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1812 S J St, Tacoma, Washington |
| Authorized Official Name and Position | Mike Fitzgerald (VP FINANCIAL OPERATIONS) |
| Authorized Official Contact | 2535524105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Franciscan Psychology-neuropsychology Services @ St Joseph 1812 S J St Ste 220 Tacoma WA 98405-4964 Ph: (253) 426-6762 | Franciscan Psychology-neuropsychology Services @ St Joseph 1812 S J St Ste 220 Tacoma WA 98405-4964 Ph: (253) 426-6762 |
| NPI Number | 1225224223 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225224223 | NPI | - | NPPES |
| 0224795 | Other | WA | STATE L&I |
| 7139231 | Medicaid | WA | |
| 8907052 | Other | WA | STATE CRIME VICTIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Washington) | Primary |
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