Organization
FRANCISCAN HEALTH SYSTEM
Active
Parent organization
FRANCISCAN HEALTH SYSTEM
Other names
Franciscan Psychology-Neuropsychology Services @ St Joseph
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN HEALTH SYSTEM
Authorized official
MIKE FITZGERALD (VP FINANCIAL OPERATIONS)
(253) 552-4105
Entity
Organization
Contact information
Practice address
1812 S J ST, STE 220, TACOMA, WA 98405-4964
(253) 426-6762
(253) 426-6224
Mailing address
1812 S J ST, STE 220, TACOMA, WA 98405-4964
(253) 426-6762
(253) 426-6224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224795
STATE L&I
WA
05
—
7139231
—
WA
01
—
8907052
STATE CRIME VICTIMS
WA
Enumeration date
09/24/2007
Last updated
02/05/2009
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