Organization Name: | REDMON PSYCHOLOGICAL SERVICES, INCORPORATED |
NPI Number: | 1134531817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA REDMON (SECRETARY, TREASURER, OFFICE MGR) |
Mailing Address: | 207 Avenue D Suite 100 Snohomish |
State: | WA US |
Postal Code: | 982902773 |
Phone Number: | 2063806142 |
Fax Number: | 3602177729 |
NPI Enumeration Date: | 05/29/2014 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY00003507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |