Provider Demographics
NPI:1568060085
Name:VANESSA HONN, PHD, PS
Entity Type:Organization
Organization Name:VANESSA HONN, PHD, PS
Other - Org Name:VANESSA HONN, PHD, PS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HONN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:253-237-4248
Mailing Address - Street 1:2661 N PEARL ST STE 365
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-2424
Mailing Address - Country:US
Mailing Address - Phone:253-237-4248
Mailing Address - Fax:
Practice Address - Street 1:615 N 2ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2232
Practice Address - Country:US
Practice Address - Phone:253-237-4248
Practice Address - Fax:253-201-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2022-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPY2973OtherLICENSE