MRS. DANETTE NEUCOM


Address: 20174 Front Street, Poulsbo, WA 98370
Phone: 3606971141

MRS. DANETTE NEUCOM (NPI# 1700247681) 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) 1700247681
Entity Type Individual
Full Name MRS. DANETTE NEUCOM
Other Name DANETTE CAVENDER OR CREAGER
Credential MA
Practice Address 20174 Front Street
Poulsbo
WA 98370
Mailing Address 19689 7th Ave Ne Ste 183
Pmb 336
Poulsbo
WA 98370
Practice Telephone 3606971141
Practice Fax Number 3606972395
Mailing Telephone 3606971141
Mailing Fax Number 3606972395
Enumeration Date 2016-03-18
Last Update Date 2018-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor MC 60610560 WA Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
LH60805877 WA Behavioral Health & Social Service Providers

Office Location

Street Address 20174 FRONT STREET
City POULSBO
State WA
Zip Code 98370

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255426292 Antone B Pryor Psychologist 20174 Front Street, Poulsbo, WA 98370 2006-10-04
1710051529 Kristin L Kennedy Counselor 20174 Front Street, Poulsbo, WA 98342 2006-11-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790324010 Francie Corinn Edens Massage Therapist 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 2020-01-03
1972155679 Marcela Serocki Massage Therapist 18657 Wa-305, Suite 4, Poulsbo, WA 98370 2019-07-12
1508425943 Ryan Brinton Physical Therapist Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 2019-06-10
1598220816 Naomi Whitney Orong Massage Therapist 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 2019-02-01
1043774953 Maryanne Phillips Bellman Physical Therapist 442 Viewmont Ave, Poulsbo, WA 98370 2019-01-24
1285102293 Andrea Sander Registered Nurse 19883 12th Ave Ne, Poulsbo, WA 98370 2018-11-07
1376038281 Sharon Renay Christor Nurse Practitioner 19160 Front St. Ne, Poulsbo, WA 98370 2018-06-25
1700304334 Samantha Przybylek Gavinski Nurse Practitioner 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 2017-09-04
1285164327 Johanna Taylor Behavior Technician 21786 Windmill Loop Nw, Poulsbo, WA 98370 2017-06-12
1568990554 Eva Geurtsen Physical Therapy Assistant 19160 Front St, Poulsbo, WA 98370 2017-06-02
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
1144775644 Lee M. Faver, Phd Pllc Psychologist 1220 Main St Ste 4, Vancouver, WA 98660-2953 2016-08-25
1780053454 Jessica Renee Mason Psychologist 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 2015-09-23
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Competitor

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City POULSBO
Zip Code 98370

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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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