Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAN GARVER BACON, PHD
Active Sole ProprietorDR. JAN GARVER BACON, PHD is a Clinical Psychologist healthcare provider located in LAKEWOOD, Washington. NPI 1457335820 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LAKEWOOD, WA
Registration Details
- NPI Number
- 1457335820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2005 (20.67624452311 yrs)
- Last Updated
- Apr 18, 2018
- License
-
PY00001639 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9125 BRIDGEPORT WAY SW STE 102LAKEWOOD, WA, 984992448Browse WA providers · Browse ZIP 98499
- Phone
- 2532548284
- Fax
- 2532760082
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in LAKEWOOD, WA
| Name | Credential | NPI |
|---|---|---|
| DR. HOLLY NOEL GALBREATH | PHD | 1508840984 |
| DR. FRANCES JOSEPHINE LEXCEN | PHD | 1770567158 |
| DR. DIANA PATRICIA TOGNAZZINI | PH.D. | 1821015579 |
| MAKIKO GUJI | — | 1003959891 |
| DR. PAMELA LYN SARLUND-HEINRICH | PSY.D. | 1174648778 |
| DR. CHRISTINA HELENE ANNE RASMUSSEN | PHD | 1275758104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.