SOUTH SOUND NEUROPSYCHOLOGY INC. (NPI# 1174796833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174796833 |
| Entity Type | Organization |
| Organization Name | SOUTH SOUND NEUROPSYCHOLOGY INC. |
| Practice Address |
108 22nd Ave Sw Suite 14 Olympia WA 98501-2871 |
| Mailing Address |
Po Box 4152 Tumwater WA 98501-0152 |
| Practice Telephone | 3604025523 |
| Practice Fax Number | 3607865250 |
| Mailing Telephone | 3604025523 |
| Mailing Fax Number | 3607865250 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | DR. HOWARD A LLOYD (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3604025523 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY00002390 | WA | Behavioral Health & Social Service Providers |
| Street Address |
108 22ND AVE SW SUITE 14 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354144 | Danny Eugene Davidson | Dentist | 108 22nd Ave Sw, Ste 16, Olympia, WA 98501-2871 | 2005-05-27 |
| 1275928251 | Jeff Lemon Dmd | Dentist | 108 22nd Ave Sw, Suite 12, Olympia, WA 98501-2871 | 2015-04-06 |
| 1275787160 | Dr.danny E Davidson, Dds Ps | Dentist | 108 22nd Ave Sw, #16, Olympia, WA 98501-2871 | 2008-11-05 |
| 1316169709 | Paul W. Donnelly | Eyewear Supplier (Equipment, not the service) | 108 22nd Ave Sw, Suite 2, Olympia, WA 98501-2871 | 2007-05-03 |
| 1750405320 | Paul W Donnelly | Technician/Technologist | 108 22nd Ave Sw, Olympia, WA 98501-2871 | 2007-03-19 |
| 1033260542 | Betty G Hummel | Counselor | 108 22nd Ave Sw, Olympia, WA 98501-2871 | 2007-01-13 |
| 1356405443 | Gordon Yamaguchi Dds Ps | Dentist | 108 22nd Ave Sw, Ste 24, Olympia, WA 98501-2871 | 2006-12-21 |
| 1962574079 | Nikki Lou Cole | Speech-Language Pathologist | 108 22nd Ave Sw, Ste. 14, Olympia, WA 98501-2871 | 2006-11-14 |
| 1346310919 | Charles Eugene Fankhauser | Dentist | 108 22nd Ave Sw, Suite 12, Olympia, WA 98501-2871 | 2006-11-09 |
| 1154408383 | Howard A. Lloyd | Clinical Neuropsychologist | 108 22nd Ave Sw, Suite 14, Olympia, WA 98501-2871 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538235908 | Gary Daniel Southwell | Clinical Neuropsychologist | 9643 39th Loop Ne, Olympia, WA 98516-6230 | 2006-11-28 |
| 1194793737 | John Bradford Powell | Clinical Neuropsychologist | 2118 Caton Way Sw, Olympia, WA 98502 | 2006-03-09 |
| 1477601789 | Kristine Rae Vandermark Powell | Clinical Neuropsychologist | 1800 Cooper Point Rd Sw, Bldg 17, Olympia, WA 98502-1178 | 2007-01-05 |
| 1154408383 | Howard A. Lloyd | Clinical Neuropsychologist | 108 22nd Ave Sw, Suite 14, Olympia, WA 98501-2871 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757010 | Corianne Raychael Lawrence | Clinical Neuropsychologist | 112 N 14th St, Selah, WA 98942-1713 | 2019-02-25 |
| 1588138333 | Mynd Group LLC | Clinical Neuropsychologist | 1066 View Ridge Dr, Oak Harbor, WA 98277-8265 | 2019-01-15 |
| 1588163208 | Johanah Y Kang | Clinical Neuropsychologist | 2013 South 19th Street, Tacoma, WA 98405 | 2018-02-08 |
| 1669850681 | Neuropsychological Services of The South Sound LLC | Clinical Neuropsychologist | 2620 R W Johnson Rd Sw Ste 204, Tumwater, WA 98512-6133 | 2015-05-11 |
| 1710372412 | Daniela Ferdico | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-03-31 |
| 1689069502 | Erica K Johnson | Clinical Neuropsychologist | 19000 33rd Ave W Ste 100, Lynnwood, WA 98036-4750 | 2015-03-30 |
| 1659776474 | Rodger Meinz | Clinical Neuropsychologist | 12712 Admiralty Way, B-101, Everett, WA 98204-5562 | 2014-10-23 |
| 1952704413 | Brad Tyson | Clinical Neuropsychologist | 12039 Ne 128th St Fl 3, Kirkland, WA 98034-3029 | 2014-09-29 |
| 1649694662 | Kelly L Crenshaw | Clinical Neuropsychologist | 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 | 2014-02-11 |
| 1508289299 | Neuropsychology and Cognitive Health | Clinical Neuropsychologist | 1808 Richards Rd #120, Bellevue, WA 98005-3982 | 2014-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.