# POINT DEFIANCE PSYCHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275329450
- **Authorized official:** DR. JONATHAN MOORE PHD (PSYCHOLOGIST)
- **Authorized official phone:** (253) 355-5766

## Contact information

- **Practice address:** 2711 N 21ST ST, TACOMA, WA 98406-7519
- **Practice address phone:** (253) 355-5766
- **Practice address fax:** (253) 944-9188
- **Mailing address:** 4522 JEAN CT W, TACOMA, WA 98466-1329

## Taxonomy

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