SENIOR CONNECTIONS - NPI 1639306582 - Psychologist in Vancouver, WA

Q: What is Seatac Senior Psychology LLC's NPI number?

The NPI number for Seatac Senior Psychology LLC is 1639306582. It was assigned to this organization in the NPPES registry on June 18, 2009. The provider is doing business as Senior Connections.

Q: What is Seatac Senior Psychology LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Senior Connections NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENIOR CONNECTIONS (NPI 1639306582) is a healthcare organization registered as a clinical in Vancouver, Washington and active in the NPI registry since June 2009. The organization lists David W Agnor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1639306582

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSEATAC SENIOR PSYCHOLOGY LLC

Location Address9340 NE 76TH STVancouver, WA 98662-3721

Mailing Address9340 Ne 76th StVancouver, WA 98662-3721 · (360) 253-4912 · Fax (360) 253-5170

Phone(360) 253-4912

Fax(360) 253-5170

Organization SubpartNo

Authorized OfficialDavid W AgnorExecutive Director · (360) 253-4912

Enumeration DateJune 18, 2009

Last NPPES UpdateSeptember 8, 2009

✔ NPI 1639306582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY00001983

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9340 NE 76TH ST, Vancouver, WA 98662

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Other Names 1

Doing Business AsSenior Connections

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNELIESE J CORCORAN PHD

Psychologist (Clinical)

9340 NE 76TH ST, VANCOUVER
VANCOUVER, WA 98662

Clark County (360) 253-4912

DAVID W AGNOR PHD PC

Skilled Nursing Facility