Lee M. Faver, PHD PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY60285535 Issued in WA

Legal business name

LEE M. FAVER, PHD PLLC

Practice address

1220 Main St Ste 4
Vancouver, WA 98660-2953

Phone

(360) 524-3616

NPI assigned

Aug 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lee Mitchell Faver, PHD ABPP

Title

Licensed Board Certified Psychologi

Phone

(360) 524-3616

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1144775644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 SE COLUMBIA WAY UNIT 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616381",
            "telephone_number": "360-524-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAIN ST STE 4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602953",
            "telephone_number": "360-524-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE M. FAVER, PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "FAVER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "LICENSED BOARD CERTIFIED PSYCHOLOGI",
        "authorized_official_telephone_number": "360-524-3616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD ABPP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60285535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.