institution
Skokomish Indian Tribe
Adolescent Medicine (Family Medicine) Physician in Skokomish Nation, Washington
NPI 1073715272

Skokomish Indian Tribe is an Adolescent Medicine (Family Medicine) Physician based in Skokomish Nation, WA and is specialized in Adolescent Medicine. Skokomish Indian Tribe practices in Skokomish Nation, WA. The NPI Number for Skokomish Indian Tribe is 1073715272 and holds a License No. LH00010657 (Washington).

The current practice location address for Skokomish Indian Tribe is N. 561 Tribal Center Rd, Skokomish Nation, WA and can be reached out via phone at 360-426-7788 and via fax at 360-462-0082.

Location: N. 561 Tribal Center Rd, Skokomish Nation, WA, 98584-7416
institution
Provider Profile Details
NPI Number
1073715272
Provider Name
Skokomish Indian Tribe
Credential
Provider Entity Type
Organization
Address
N. 561 Tribal Center Rd, Skokomish Nation, WA, 98584-7416
Phone Number
360-426-7788
Fax Number
360-462-0082
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1980796 05 WA
institution
Provider Business Practice Location Address Details
Address
N. 561 Tribal Center Rd
City
State
Zip
98584-7416
Phone Number
360-426-7788
Fax Number
360-462-0082
person
Provider Business Mailing Address Details
Address
N. 561 Tribal Center Rd
City
State
Zip
98584-7416
Phone Number
360-426-7788
Fax Number
360-462-0082
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PY00002366 (Washington)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
LH00009495 (Washington)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
License No.
LH00010657 (Washington)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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