Dr. Krista Bacon
Dr. Krista Bacon is a Clinical Psychologist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2015.
- Licensed in
- WA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
4001 Main St Ste 218Vancouver, WA 98663-1888
Phone: (360) 777-6915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Forensic Psychologist (primary) | Taxonomy 103TF0200X · Licence PY61395594 (WA) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence PY61395594 (WA) |
Record details
| NPI number | 1770952699 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 21, 2015 |
| Last updated in NPPES | September 18, 2023 |
| Certification date | September 18, 2023 |
| Mailing address | 4001 Main Street, Suite 218, Box 7, Vancouver, WA 98663-1888 |
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