# FRANCISCAN HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRANCISCAN HEALTH SYSTEM
- **Other names:** Franciscan Psychology-Neuropsychology Services @ St Clare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093952145
- **Legal business name:** FRANCISCAN HEALTH SYSTEM
- **Authorized official:** MIKE FITZGERALD (VP FINANCIAL OPS)
- **Authorized official phone:** (253) 680-4005

## Contact information

- **Practice address:** 4908 112TH ST SW, LAKEWOOD, WA 98499-5143
- **Practice address phone:** (253) 985-6560
- **Practice address fax:** (253) 985-6561
- **Mailing address:** 4908 112TH ST SW, LAKEWOOD, WA 98499-5143
- **Mailing address phone:** (253) 985-6560
- **Mailing address fax:** (253) 985-6561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 02/05/2009