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NPI Code Detail

MEDICARE: DR. DIANA PATRICIA TOGNAZZINI PH.D.

MEDICARE:  DR. DIANA PATRICIA TOGNAZZINI  PH.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 Psychologist2090WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1131907OTHERWALABOR AND INDUSTRY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821015579
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA PATRICIA TOGNAZZINI PH.D.
Provider Business Mailing Address
First Line : 11407 GUTHRIE RD
Second Line :
City : ANDERSON ISLAND
State : WA
Zip : 98303-9775
Country : US
Telephone Number : 253-884-5027
Fax Number : 253-884-7793
Provider Business Practice Location Address
First Line : 6212 75TH ST W
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-8368
Country : US
Telephone Number : 253-983-8507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 12/20/2007

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