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DAVID W AGNOR PHD PC NPI 1518929470


NPI Information

NPI: 1518929470
Provider Name: DAVID W AGNOR PHD PC

Doing Business As: SENIOR CONNECTIONS

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
9340 NE 76TH ST
VANCOUVER, WA
ZIP 98662
Phone: (360) 253-4912
Get Directions

DAVID W AGNOR PHD PC is a clinical psychologist in Vancouver, WA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DAVID W AGNOR PHD PC NPI is 1518929470. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Senior Connections.

The provider's business location address is:

9340 NE 76TH ST
VANCOUVER, WA
ZIP 98662-721
Phone: (360) 253-4912
Fax: (360) 253-5170

The provider's authorized official is David W Agnor .
The authorized official title is Executive Director Owner and has the following contact phone number (360) 253-4912.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 1/23/2008.


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
1103TC0700XPsychologistClinicalPY00001983WASHINGTONYes

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
17089816MEDICAIDWASHINGTON
2G8853313MEDICARE PINWASHINGTON
3GAB36794MEDICARE PINWASHINGTON
4GAB37805MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
5R18084MEDICARE UPINWASHINGTON
6G8862291MEDICARE PINWASHINGTON
7GAB03171MEDICARE PINWASHINGTON

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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