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NORTHWEST PSYCHOLOGICAL RESOURCES LLC NPI 1811079049


NPI Information

NPI: 1811079049
Provider Name: NORTHWEST PSYCHOLOGICAL RESOURCES LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
945 11TH AVE
SUITE B
LONGVIEW, WA
ZIP 98632
Phone: (360) 414-8600
Get Directions

NORTHWEST PSYCHOLOGICAL RESOURCES LLC is a clinical neuropsychologist in Longview, WA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. NORTHWEST PSYCHOLOGICAL RESOURCES LLC NPI is 1811079049. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

945 11TH AVE
SUITE B
LONGVIEW, WA
ZIP 98632-555
Phone: (360) 414-8600
Fax: (360) 636-7372

The provider's authorized official is Elizabeth J Mcnabb .
The authorized official title is Office Manager and has the following contact phone number (360) 414-8600.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 12/20/2007.


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
1101Y00000XCounselorRC49825WASHINGTONNo
2101Y00000XCounselorLH4032WASHINGTONNo
3103T00000XPsychologistPY2237WASHINGTONNo
4103T00000XPsychologistPY2966WASHINGTONNo
5103T00000XPsychologistPY3397WASHINGTONNo
6103T00000XPsychologistPY436WASHINGTONNo
7103T00000XPsychologistPY3263WASHINGTONNo
8103T00000XPsychologistPY2721WASHINGTONNo
9103T00000XPsychologistPY1687WASHINGTONNo
10103T00000XPsychologistPY2823WASHINGTONNo
11103T00000XPsychologistPY1269WASHINGTONNo
121041C0700XSocial WorkerClinicalLW4474WASHINGTONNo
131041C0700XSocial WorkerClinicalSW40002261WASHINGTONNo
14103G00000XClinical NeuropsychologistPY1656WASHINGTONYes

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
1GAB09107MEDICARE PINWASHINGTON
20126624OTHERWASHINGTONCRIME VICTIMS
30126624OTHERWASHINGTONLABOR AND INDUSTRIES
4112359OTHERWASHINGTONKAISER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.