Healthcare Provider Details

I. General information

NPI: 1770567158
Provider Name (Legal Business Name): FRANCES JOSEPHINE LEXCEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: FRANCES L KELLAM

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 STEILACOOM BLVD SW
LAKEWOOD WA
98498-4770
US

IV. Provider business mailing address

1602 COMMERCIAL ST APT 7
STEILACOOM WA
98388-1341
US

V. Phone/Fax

Practice location:
  • Phone: 253-756-2970
  • Fax: 253-756-3911
Mailing address:
  • Phone: 253-589-8662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY00003125
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: