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General NPI Number Information
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NPI Number | 1134531817
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Entity Type | Organization
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Legal Business Name | REDMON PSYCHOLOGICAL SERVICES, INCORPORATED
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 316 MAPLE AVE # B
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City | SNOHOMISH
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State | WA
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Zip | 98290-2526
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Country | US
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Telephone | 206-380-6142
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Fax | 360-863-2469
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Provider Business Mailing Address
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Address Line | 1429 AVENUE D # 423
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City | SNOHOMISH
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State | WA
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Zip | 98290-1742
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Country | US
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Telephone | 206-501-9287
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Fax | 360-863-2469
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Authorized Official
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Title or Position | SECRETARY, TREASURER, OFFICE MGR
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Name | LINDA REDMON
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Credential |
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Telephone | 206-501-9287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003507
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License Number State | WA
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