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NPI Code Detail

MEDICARE: EMMA ATON

MEDICARE:   EMMA  ATON
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 Psychologist61479447WA

General Provider Information

NPI Number : 1750737961
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA ATON
Provider Business Mailing Address
First Line : 120 CRESTLINE DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-4514
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2219 RIMLAND DR STE 301
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8759
Country : US
Telephone Number : 360-685-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 06/12/2024

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Directions to “ EMMA ATON ” Practice Location

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