Unknown Individual – Clinical Psychologist, NPI 1336183664

Unknown Individual is a healthcare provider. based in Lakewood, Washington. specializing in Clinical Psychologist. They hold a License No. PY00001314 (WA). The NPI Number for Unknown Individual is 1336183664

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336183664
Phone
(253) 588-7911
Address
PO BOX 97115
Deactivation Date
26 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 97115

    LAKEWOOD, WA 984970115

    Phone: (253) 588-7911

    Fax: (253) 984-6774

    Type: Mailing

  • 4200, 14th Avenue Southeast, Lacey, Thurston County, Washington, 98503, United States

    LACEY, WA 985032325

    Phone: (360) 491-8018

    Fax: (360) 491-7356

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98497)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1336183664.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Clinical Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Lakewood, Washington for Unknown Individual; expand the address list for detail.
What if Lakewood, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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