Individual provider · Type 1 NPI

Timothy Martin Reisenauer, PhD

Psychologist · Mill Creek, WA

NPI number 1407032063 Active

Practice location

15418 Main St Unit 301
Mill Creek, WA 98012-9031

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1287 (WA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1407032063

Timothy Martin Reisenauer, PhD's National Provider Identifier is 1407032063, issued on Jan 14, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Mill Creek, WA. The record was last updated on Jan 14, 2008.