Jay R. Skidmore, PH.D.

Clinical Psychologist · Everett, WA

Individual Active NPI

NPI number 1043664352

Practice location

2230 Rucker Ave Ste 100
Everett, WA 98201-2772
Phone
(206) 200-4357

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NPI record

NPI
1043664352
Entity type
Individual (Type 1)
Enumeration date
April 22, 2016
Last updated
April 22, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PY00002488 WA

Mailing address

15121 62ND Ave W
Edmonds, WA 98026-4105

About Dr. Skidmore

Jay R. Skidmore, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 2230 Rucker Ave Ste 100, Everett, WA 98201-2772. The NPI number 1043664352 was assigned on April 22, 2016 and the record was last updated on April 22, 2016.

Dr. Skidmore lists a license in the registry: #PY00002488 (WA) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay R. Skidmore, PH.D.?

The NPI number is 1043664352.

What is the phone number of Dr. Skidmore?

The phone number listed for the practice location is (206) 200-4357.

Where is Dr. Skidmore located?

2230 Rucker Ave Ste 100, Everett, WA 98201-2772.

What is the taxonomy code for Dr. Skidmore?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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