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Organization
POINT DEFIANCE PSYCHOLOGY
Active
Organization
POINT DEFIANCE PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MOORE PHD (PSYCHOLOGIST)
(253) 355-5766
Entity
Organization
Contact information
Practice address
2711 N 21ST ST, TACOMA, WA 98406-7519
(253) 355-5766
(253) 944-9188
Mailing address
4522 JEAN CT W, TACOMA, WA 98466-1329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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