1417040924 NPI number — DONNA JO LOPAZE MS LMHC

Table of content: DONNA JO LOPAZE MS LMHC (NPI 1417040924)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417040924 NPI number — DONNA JO LOPAZE MS LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOPAZE
Provider First Name:
DONNA
Provider Middle Name:
JO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARMATYS
Provider Other First Name:
DONNA
Provider Other Middle Name:
JO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1417040924
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CATHOLIC FAMILY & CHILD SERVICE
Provider Second Line Business Mailing Address:
5301 TIETON DRIVE SUITE C
Provider Business Mailing Address City Name:
YAKIMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98908-3478
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-965-7100
Provider Business Mailing Address Fax Number:
509-966-9750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CATHOLIC FAMILY & CHILD SERVICE
Provider Second Line Business Practice Location Address:
5301 TIETON DRIVE SUITE C
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98908-3478
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-965-7100
Provider Business Practice Location Address Fax Number:
509-966-9750
Provider Enumeration Date:
10/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH00004284 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)