COLLEEN RUSTAD


Address: 3224 6th Ave, Tacoma, WA 98406-5902
Phone: 2535798278

COLLEEN RUSTAD (NPI# 1184134314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184134314
Entity Type Individual
Full Name COLLEEN RUSTAD
Credential PHD
Practice Address 3224 6th Ave
Tacoma
WA 98406-5902
Mailing Address 3516 Ross Ave
Gig Harbor
WA 98332-2105
Practice Telephone 2535798278
Mailing Telephone 6025095660
Enumeration Date 2017-10-02
Last Update Date 2018-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY60820191 WA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
901 Boren Ave Ste 1300, Seattle, WA 981043509 2535798278

Office Location

Street Address 3224 6TH AVE
City TACOMA
State WA
Zip Code 98406-5902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972068070 Misty Molina, Arnp Midwife 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 2019-02-04
1538641238 Julianne Marie Silla Behavior Technician 4414 6th Ave., Tacoma, WA 98406 2018-08-30
1659851194 Holli Fadem Behavioral Analyst 4414 6th Ave, Tacoma, WA 98406 2018-08-15
1275013682 Josephine Lynn Daniels Counselor 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 2018-08-15
1821520388 Cayla Passmore Home Health Aide 7320 6th Ave, Apt 2, Tacoma, WA 98406 2017-04-03
1134587355 Chelsey Babcock Massage Therapist 1919 N Pearl St., #a4, Tacoma, WA 98406 2016-02-02
1366888992 Philip Jones / Thomas Henry, D.o.s., P.s. Dentist 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 2013-05-22
1548512866 Suzanne R Webster Occupational Therapy Assistant 2301 N Mildred, Tacoma, WA 98406 2012-10-10
1457609943 Erika R. Sagle Specialist 1807 N. Stevens St., Tacoma, WA 98406 2012-08-15
1457616104 Catherine M Jones Pharmacy Technician 3601 6th Ave S., Tacoma, WA 98406 2012-07-09
Find all providers in zip 98406

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760097497 Laetitia Geoffroy-dallery Psychologist 6425 S Cheyenne St, Tacoma, WA 98409-1633 2020-09-10
1780199125 Christopher Edwards Psychologist 1500 N Warner St Stop 1035, Tacoma, WA 98416-1035 2017-12-07
1174983316 Troy Allen Robison Psychologist 9600 Veterans Dr Sw # A-116atc, Tacoma, WA 98493-5000 2016-03-01
1447618053 Llc Courage 2b Psychologist 1764 N James St, Tacoma, WA 98406-1508 2016-02-10
1326415472 Sean Morrison Psychologist 708 Broadway Ste 170, Tacoma, WA 98402-3778 2015-08-25
1386981850 Larry D Pruitt Psychologist 9933 W Hayes St Madigan Anx, Joint Base Lewis Mcchord, Tacoma, WA 98431-0001 2013-01-03
1740541945 Quyen Bich Nguyen Psychologist 4301 S Pine St Ste 30-07, Tacoma, WA 98409-9123 2012-06-04
1518245679 Christmas Covell Psychologist 2105 N 30th St, Tacoma, WA 98403-3318 2011-07-22
1790089001 Maurice Patrick O'connor Psychologist 321 E 25th St, Tacoma, WA 98421-1300 2010-12-29
1326348947 Elizabeth Harmony Johnson Psychologist 9040 Jackson Ave Tacoma, Tacoma, WA 98431-0001 2010-10-29
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98406

Improve Information

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Dataset Information

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.

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