DR. ANNE MARIE TIETJEN PH.D. NPI 1821121195

NPI Information

NPI: 1821121195
Provider Name: DR. ANNE MARIE TIETJEN, PH.D.
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

Address:
1201 11TH ST
SUITE 201
BELLINGHAM, WA
ZIP 98225
Phone: (360) 647-2808
Get Directions

DR. Anne Marie Tietjen, PH.D. is an adult development and aging psychologist in Bellingham, WA. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Anne Marie Tietjen, PH.D. NPI is 1821121195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 11TH ST
SUITE 201
BELLINGHAM, WA
ZIP 98225-093
Phone: (360) 647-2808
Fax: (360) 752-0037

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0700X	Psychologist	Adult Development & Aging	PY00001272	WASHINGTON	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	PY00001272	WASHINGTON	X
3	103TC0700X	Psychologist	Clinical	PY00001272	WASHINGTON	X
4	103TC2200X	Psychologist	Clinical Child & Adolescent	PY00001272	WASHINGTON	X
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PY00001272	WASHINGTON	X
6	103T00000X	Psychologist		PY00001272	WASHINGTON	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R12223	MEDICARE UPIN	WASHINGTON

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

NPI Synchronization or Removal

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