DR. Krista Bacon
NPI #1770952699 in Vancouver, Washington
Provider Information
- NPI Number
- 1770952699
- Entity Type
- Individual
- Name
- DR. Krista Bacon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Forensic
- Enumeration Date
- Sep 21, 2015
- Last Updated
- Sep 18, 2023
Practice Location
- Address
- 4001 MAIN ST STE 218
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98663-1888
- Phone
- (360) 777-6915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Psychologist - Forensic — Forensic |
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