Jon Edward Ingram PHD

NPI 1629296579 - Psychologist - 103T00000X

NPI Details
NPI 1629296579
Gender Male
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1514 E ST
SUITE A
VANCOUVER WA, 98663-3441, US
Phone (360) 600-7685
Fax (360) 993-2777
Business Location
1514 E ST
SUITE A
VANCOUVER WA, 98663-3441, US
Phone (360) 600-7685
Fax (360) 993-2777
Toxanomy
Taxonomy Code 103T00000X
License State Washington
License Number 1521
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According to our database, Dr. Jon Edward Ingram PHD NPI is 1629296579, taxonomy code is 103T00000X and license number is 1521, license state is located at Washington. Jon Edward Ingram PHD physically located at 1514 E St, Vancouver WA, 98663-3441. NPI Number Jon Edward Ingram PHD has the Individual type.

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1629296579 NPI number is provided on an as is basis without warranty of any kind. 1629296579 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Edward Ingram PHD are for informational purposes only.