Organization Name: | BEHAVIORAL MEDICINE NORTHWEST, P.S. |
NPI Number: | 1073661286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCINE HAY POWEL (PRESIDENT) |
Mailing Address: | 345 Knechtel Way Ne #111 Bainbridge Island |
State: | WA US |
Postal Code: | 981102860 |
Phone Number: | 2067206155 |
Fax Number: | 2068666979 |
NPI Enumeration Date: | 01/07/2007 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |