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General NPI Number Information
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NPI Number | 1679391361
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Entity Type | Organization
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Legal Business Name | DANIEL PRATT PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 3142 N BALTIMORE ST
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City | TACOMA
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State | WA
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Zip | 98407-3412
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Country | US
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Telephone | 253-375-8775
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Fax | 253-201-6070
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE 4608
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 253-375-8775
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Fax | 253-201-6070
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Authorized Official
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Title or Position | OWNER, LICENSED PSYCHOLOGIST
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Name | DANIEL PRATT
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Credential | PSYD
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Telephone | 253-375-8775
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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 |
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License Number State |
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