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Contact Information

POINT DEFIANCE PSYCHOLOGY
2711 N 21ST ST
TACOMA, WA98406-7519
 Phone: 253-355-5766
 Fax: 253-944-9188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for POINT DEFIANCE PSYCHOLOGY

NPI Number 1275329450
LBN Legal business name POINT DEFIANCE PSYCHOLOGY
Authorized official JONATHAN MOORE - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2025
Last updated 04/16/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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