<unavail> in Tacoma, WA - Psychiatry & Neurology

is a mental health clinic (Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry) in Tacoma, Washington. The current practice location for is 6704 Tacoma Mall Blvd Ste 111, Tacoma, Washington. For appointments, you can reach them via phone at (253) 260-3460. The mailing address for is 6704 Tacoma Mall Blvd Ste 111, Tacoma, Washington and phone number is (253) 260-3460.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1285405522. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (253) 260-3460.

Contact Information


	6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001
	(253) 260-3460
	(253) 397-3443

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry
Location	6704 Tacoma Mall Blvd Ste 111, Tacoma, Washington
Authorized Official Name and Position	Kelly Rae Johnson (CREDENTIALING DIRECTOR)
Authorized Official Contact	7853206616
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 Ph: (253) 260-3460	6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 Ph: (253) 260-3460

NPI Details:

NPI Number	1285405522
Provider Enumeration Date	01/15/2024
Last Update Date	11/21/2024
Certification Date	11/20/2024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285405522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
103G00000X	Clinical Neuropsychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	(* (Not Available))	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	(* (Not Available))	Secondary
103TP0016X	Psychologist - Prescribing (medical)	(* (Not Available))	Secondary
103TP0814X	Psychologist - Psychoanalysis	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
202D00000X	Integrative Medicine	(* (Not Available))	Secondary
207QA0505X	Family Medicine - Adult Medicine	(* (Not Available))	Secondary
2084B0040X	Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry	(* (Not Available))	Primary
2084P0015X	Psychiatry & Neurology - Psychosomatic Medicine	(* (Not Available))	Secondary

Reviews and Comments

Psychiatry & Neurology in Tacoma, WA

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- Mental Health Clinic in Tacoma, WA