Amber Fawn Gentrysouthard M.S.W, LICSW

  • NPI 1902079924
According to our database, the NPI number for Amber Fawn Gentrysouthard M.S.W, LICSW is 1902079924 and activated since 16 years ago. Amber Fawn Gentrysouthard M.S.W, LICSW is an individual provider who specializes in Clinical, and the primary practice location is 325 E Pioneer, Puyallup, WA 98372. You can also contact Amber Fawn Gentrysouthard M.S.W, LICSW via telephone number is (253) 445-8120. Provider NPI information was last updated on 04/26/2012.

Recently Active NPIs

Overview of Amber Fawn Gentrysouthard M.S.W, LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 04/10/2008
  • Last updated: 04/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LW 60072190
  • License State: WA

Provider Mailing Address

  • Address: 325 E Pioneer
    Puyallup, WA 98372
  • Phone: 253-445-8120
  • Fax: 253-697-3730

Provider Practice Location

  • Address: 325 E Pioneer
    Puyallup, WA 98372
  • Phone: 253-445-8120
  • Fax: 253-697-3730

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LW 6007219
  • License State: WA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Amber Fawn Gentrysouthard M.S.W, LICSW?
  • A: The npi number for Amber Fawn Gentrysouthard M.S.W, LICSW is 1902079924.
  • Q: What are Amber Fawn Gentrysouthard M.S.W, LICSW's specialties?
  • A: Amber Fawn Gentrysouthard M.S.W, LICSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Amber Fawn Gentrysouthard M.S.W, LICSW?
  • A: The medical license number for Amber Fawn Gentrysouthard M.S.W, LICSW is LW 60072190 and issued in WA in USA.
  • Q: Where is Amber Fawn Gentrysouthard M.S.W, LICSW practice location?
  • A: Amber Fawn Gentrysouthard M.S.W, LICSW is practicing at 325 E Pioneer, Puyallup, WA 98372.
  • Q: How to contact Amber Fawn Gentrysouthard M.S.W, LICSW?
  • A: You can contact Amber Fawn Gentrysouthard M.S.W, LICSW via 253-445-8120.