Active NPI
Neuropsychological Services of the South Sound LLC
- Clinical Neuropsychologist
- Tumwater, WA
National Provider Identifier
1669850681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- NEUROPSYCHOLOGICAL SERVICES OF THE SOUTH SOUND LLC
- Practice address
- 2620 R W Johnson Rd SW Ste 204
Tumwater, WA 98512-6133 - Phone
- (360) 709-0601
- Fax
- (360) 528-2080
- NPI assigned
- May 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Dahmer-White, PHD
- Title
- Owner
- Phone
- (360) 709-0601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
2620 R W Johnson Rd SW Ste 204
Tumwater, WA 98512-6133
Mailing address
2620 R W Johnson Rd SW Ste 204
Tumwater, WA 98512-6133
Phone (360) 709-0601
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neuropsychologist
- Tumwater, WA
- NPI 1831297233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1669850681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 R W JOHNSON RD SW STE 204",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126133",
"telephone_number": "360-709-0601",
"fax_number": "360-528-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 R W JOHNSON RD SW STE 204",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126133",
"telephone_number": "360-709-0601",
"fax_number": "360-528-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHOLOGICAL SERVICES OF THE SOUTH SOUND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "DAHMER-WHITE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-709-0601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.