LEE M. FAVER, PHD PLLC (NPI# 1144775644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144775644 |
| Entity Type | Organization |
| Organization Name | LEE M. FAVER, PHD PLLC |
| Practice Address |
1220 Main St Ste 4 Vancouver WA 98660-2953 |
| Mailing Address |
5927 Se Columbia Way Unit 203 Vancouver WA 98661-6381 |
| Practice Telephone | 3605243616 |
| Mailing Telephone | 3605243616 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | DR. LEE MITCHELL FAVER (LICENSED BOARD CERTIFIED PSYCHOLOGI) |
| Authorized Official Telephone | 3605243616 |
| Authorized Official Credential | PHD ABPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY60285535 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1220 MAIN ST STE 4 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629208673 | Will Meek | Psychologist | 601 E 22nd St, Vancouver, WA 98663-3208 | 2009-07-23 |
| 1700015229 | Malinda Elizabeth Trujilllo | Psychologist | 411 E 29th St, Vancouver, WA 98663-2705 | 2009-07-06 |
| 1063579217 | David T Morgan Phd Inc | Psychologist | 2700 Ne Andresen Rd Ste D4, Vancouver, WA 98661-7342 | 2007-01-03 |
| 1417017252 | Jeanine Copperstone | Psychologist | 800 Officers Row Ste A, Vancouver, WA 98661-3847 | 2006-12-11 |
| 1588670335 | Lee M. Faver, Phd PC | Psychologist | 5927 Se Columbia Way Unit 203, Vancouver, WA 98661-6381 | 2006-08-01 |
| 1518964824 | Lee Mitchell Faver | Psychologist | 303 E 16th St Ste 302, Vancouver, WA 98663-3410 | 2005-06-30 |
| 1124398490 | Sarah W Thompson | Psychologist | 601 Main St, Suite 200, Vancouver, WA 98660-3402 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198451 | Terry Macdonald | Psychologist | 19125 N Creek Pkwy Ste 115, Bothell, WA 98011-8000 | 2018-09-20 |
| 1518447630 | Robert Matthew Fontana | Psychologist | 1827 Ne 58th St # B, Seattle, WA 98105-2440 | 2018-08-17 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1245732288 | Shannon Dubois | Psychologist | 19803 N Creek Pkwy # 205, Bothell, WA 98011-8214 | 2018-03-06 |
| 1982134714 | John M Gottman | Psychologist | 1689 Spring Point Rd, Deer Harbor, WA 98243-9824 | 2017-06-14 |
| 1245765650 | Renee St Jacques | Psychologist | 11441 81st Ave Ne, Kirkland, WA 98034-3558 | 2017-04-23 |
| 1962942409 | Lindsay Huettman | Psychologist | 28128 Florence Acres Rd, Monroe, WA 98272-9574 | 2017-03-02 |
| 1184160541 | Robin Barre | Psychologist | 421 Lincoln Avenue, Suite A, Mukilteo, WA 98237 | 2017-01-10 |
| 1780053454 | Jessica Renee Mason | Psychologist | 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 | 2015-09-23 |
| 1902293608 | Emilie Zuckerman | Psychologist | 3123 Fairview Ave E Ste 303, Seattle, WA 98102 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LEE M. FAVER, PHD PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.