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SOUTH WHIDBEY PSYCHOLOGICAL SERVICES PLLC NPI 1518231893


NPI Information

NPI: 1518231893
Provider Name: SOUTH WHIDBEY PSYCHOLOGICAL SERVICES, PLLC

Doing Business As: FAULDER COLBY, PH.D.; SWPS, PLLC; SWPS

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
11042 SR 525
SUITE 206
CLINTON, WA
ZIP 98236
Phone: (360) 341-4484
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SOUTH WHIDBEY PSYCHOLOGICAL SERVICES, PLLC is a psychologist in Clinton, WA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. SOUTH WHIDBEY PSYCHOLOGICAL SERVICES, PLLC NPI is 1518231893. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Faulder Colby, Ph.d.; Swps, Pllc; Swps.

The provider's business location address is:

11042 SR 525
SUITE 206
CLINTON, WA
ZIP 98236-600
Phone: (360) 341-4484
Fax: (866) 627-8142

The provider's authorized official is Faulder Colby .
The authorized official title is Owner/sole Member and has the following contact phone number (360) 341-4484.

The enumeration date for this NPI number is 3/3/2012 and was last updated on 11/30/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPY 00001909WASHINGTONNo
2103TC0700XPsychologistClinicalPY 00001909WASHINGTONNo
3103TF0200XPsychologistForensicPY 00001909WASHINGTONNo
4103T00000XPsychologistPY 00001909WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12017481MEDICAIDWASHINGTON
2DT0357OTHERWASHINGTONRAILROAD MEDICARE PIN
3G8908677MEDICARE 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: 5/5/2024

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