Organization Name: | TRI-ESSENCE CARE, PLLC |
NPI Number: | 1144598533 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA L CASEY (REGISTERED AGENT) |
Mailing Address: | 1121 Se Dock St Oak Harbor |
State: | WA US |
Postal Code: | 982774067 |
Phone Number: | 3609278363 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |