Provider Demographics
NPI:1306887625
Name:HONN, VANESSA (PHD)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:HONN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2661 N PEARL ST STE 365
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-2424
Mailing Address - Country:US
Mailing Address - Phone:253-237-4248
Mailing Address - Fax:
Practice Address - Street 1:615 N 2ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2232
Practice Address - Country:US
Practice Address - Phone:253-237-4248
Practice Address - Fax:253-201-9904
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2022-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2973103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2973OtherWA CLINICAL PSYCHOLOGY