Healthcare Provider Details

I. General information

NPI: 1609880426
Provider Name (Legal Business Name): BARBARA J DAHL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 SO 19TH ST
TACOMA WA
98405
US

IV. Provider business mailing address

2013 SO 19TH ST
TACOMA WA
98405
US

V. Phone/Fax

Practice location:
  • Phone: 253-383-3355
  • Fax: 253-383-3627
Mailing address:
  • Phone: 253-383-3355
  • Fax: 253-383-3627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY00002461
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPY00002461
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY00002461
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: