Dr. Thomas M. Stallone
Health Service Clinical Psychologist
100 E 13th St Suite 105
Vancouver
, Washington 98660-3326
Dr. Thomas M. Stallone
Health Service Clinical Psychologist
100 E 13th St Suite 105
Vancouver
, Washington 98660-3326
(360) 571-8460
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About
Features
Specialties
- Clinical Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Thomas M. Stallone
- 100 East 13th Street, Suite 105
- Vancouver, WA
- Zip : 98660-3327
- Fax : (360) 571-8460
- Phone : (360) 696-1646
Second Address
- Dr. Thomas M. Stallone
- 100 E 13th St Suite 105
- Vancouver, WA
- Zip : 98660-3326
- Fax : (360) 571-8460
- Phone : (360) 696-1646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PY1974 | WA |
| N | 103TC0700X | Clinical Psychologist | PY1974 | WA |
| N | 103G00000X | Clinical Psychologist | PY1974 | WA |
| N | 103TC0700X | Clinical Psychologist | PY1974 | WA |
| N | 103TH0100X | Health Service | PY1974 | WA |
National Provider Identifier
| NPI | 1144296104 |
|---|---|
| Provider Name | Dr. Thomas M. Stallone |
| First Address | Vancouver, WA 98660-3327 |
| Second Address | Vancouver, WA 98660-3326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S22283 | (02) | WA |
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.