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NPI 1225920424

NPI 1225920424 : ACCESS NEUROPSYCHOLOGY NORTHWEST : EVERETT, WA

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General NPI Number Information
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    NPI Number           |    1225920424
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCESS NEUROPSYCHOLOGY NORTHWEST 
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Dates
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    Enumeration Date     |    07/21/2025
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    3525 COLBY AVE STE 211 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-4782
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    Country              |    US
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    Telephone            |    425-999-6945
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    Fax                  |    425-474-2482
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Provider Business Mailing Address
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    Address Line         |    3525 COLBY AVE STE 211 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-4782
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    Country              |    US
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    Telephone            |    425-999-6945
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    Fax                  |    425-474-2482
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Authorized Official
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    Title or Position    |    CLINICAL NEUROPSYCHOLOGIST
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    Name                 |    DR. MEETING ANTHONY KEARNS 
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    Credential           |    PSYD
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    Telephone            |    425-259-1366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    
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    License Number State |    
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