DR. VIRGINA C WULF


Address: 1104 Main St, Sutie 500, Vancouver, WA 98660
Phone: 3609935351

DR. VIRGINA C WULF (NPI# 1598875643) 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) 1598875643
Entity Type Individual
Full Name DR. VIRGINA C WULF
Credential PHD
Practice Address 1104 Main St
Sutie 500
Vancouver
WA 98660
Practice Telephone 3609935351
Practice Fax Number 5036452224
Mailing Telephone 3609935351
Mailing Fax Number 5036452224
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY00001579 WA Behavioral Health & Social Service Providers

Office Location

Street Address 1104 MAIN ST
SUTIE 500
City VANCOUVER
State WA
Zip Code 98660

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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

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1093040743 Gregory Allen May Psychologist 400 E Evergreen Blvd Ste 209, Vancouver, WA 98660-3264 2009-10-14
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1174764732 Cecilia M Dominguez Psychologist 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 2009-03-11
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Competitor

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City VANCOUVER
Zip Code 98660

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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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