Audra Stave, is a
Psychologist - Clinical based in Vancouver, Washington. Audra Stave is licensed to practice in Washington (license number PY60794634) and her current practice location is
13501 Ne 28th St, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 604-6700.
NPI number for Audra Stave is 1205236650 and her current mailing address is Po Box 8910, Vancouver, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205236650.
Healthcare Provider's Profile
| Full Name | Audra Stave |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 13501 Ne 28th St, Vancouver, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205236650
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 08/07/2018
Medical Identifiers
Medical identifiers for Audra Stave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205236650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY60794634 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audra Stave is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Audra Stave,
Po Box 8910,
Vancouver, WA 98668-8910
Ph: (360) 604-6700 | Audra Stave,
13501 Ne 28th St,
Vancouver, WA 98682
Ph: (360) 604-6700 |
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