Organization Name: | NW MEDICAL PSYCHOLOGY, INC. PS |
NPI Number: | 1003079856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY C STEGER (PRESIDENT) |
Mailing Address: | 3120 Squalicum Pkwy Suite 2 Bellingham |
State: | WA US |
Postal Code: | 982251934 |
Phone Number: | 3607344046 |
Fax Number: | 3607346727 |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 01/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY00000512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |