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NPI Code Detail

MEDICARE: TASMYN BOWES PSY.D

MEDICARE: TASMYN BOWES PSY.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY60046240WA

General Provider Information

NPI Number : 1669605259
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASMYN BOWES PSY.D
Provider Business Mailing Address
First Line : 3515 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2730
Country : US
Telephone Number : 260-536-4696
Fax Number :
Provider Business Practice Location Address
First Line : 3515 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2730
Country : US
Telephone Number : 206-536-4696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2009
Last Update Date : 11/05/2018

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