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ADVANCED BEHAVIORAL MEDICINE AND NEUROPSYCHOLOGY ASSOCIATES PLLC NPI 1558372268


NPI Information

NPI: 1558372268
Provider Name: ADVANCED BEHAVIORAL MEDICINE AND NEUROPSYCHOLOGY ASSOCIATES, PLLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
2013 SO 19TH ST
TACOMA, WA
ZIP 98405
Phone: (253) 383-3355
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ADVANCED BEHAVIORAL MEDICINE AND NEUROPSYCHOLOGY ASSOCIATES, PLLC is a clinical neuropsychologist in Tacoma, WA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. ADVANCED BEHAVIORAL MEDICINE AND NEUROPSYCHOLOGY ASSOCIATES, PLLC NPI is 1558372268. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2013 SO 19TH ST
TACOMA, WA
ZIP 98405
Phone: (253) 383-3355
Fax: (253) 383-3627

The provider's authorized official is Edwin L Hill .
The authorized official title is Business Owner and has the following contact phone number (253) 383-3355.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical601916936WASHINGTONNo
2103G00000XClinical Neuropsychologist601916936WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10062183OTHERWASHINGTONDEPT OF L & I
2492430MEDICAIDWASHINGTON
3P03806OTHERWASHINGTONREGENCE BS
4G115148000MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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