Dr. Jared Newman Kilmer
Clinical Psychologist
12025 115th Ave Ne Ste 215
Kirkland
, Washington 98034-6943
Dr. Jared Newman Kilmer
Clinical Psychologist
12025 115th Ave Ne Ste 215
Kirkland
, Washington 98034-6943
(425) 222-2599
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jared Newman Kilmer
- 12025 115th Ave Ne Building D Ste 215
- Kirkland, WA
- Zip : 98034-7304
- Phone : (425) 222-2599
Second Address
- Dr. Jared Newman Kilmer
- 12025 115th Ave Ne Ste 215
- Kirkland, WA
- Zip : 98034-6943
- Phone : (425) 405-5316
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Is Dr. Jared Newman Kilmer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 37976 | TX |
| N | 103TC0700X | Clinical Psychologist | 37976 | TX |
| Y | 103G00000X | Clinical Psychologist | 60963309 | WA |
| Y | 103TC0700X | Clinical Psychologist | 60963309 | WA |
National Provider Identifier
| NPI | 1003435694 |
|---|---|
| Provider Name | Dr. Jared Newman Kilmer |
| First Address | Kirkland, WA 98034-7304 |
| Second Address | Kirkland, WA 98034-6943 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2020 |
| Last Update Date | 18/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.