Maile Grace Davelaar, LMFT is a
Marriage & Family Therapist based in Peshastin, Washington. Maile Grace Davelaar is licensed to practice in Washington (license number LF60195205) and her current practice location is
10090 Main St Apt H, Peshastin, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 676-6009.
NPI number for Maile Grace Davelaar is 1366758864 and her current mailing address is 9041 Derby Canyon Rd, Peshastin, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366758864.
Healthcare Provider's Profile
| Full Name | Maile Grace Davelaar |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
|---|
| Location | 10090 Main St Apt H, Peshastin, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366758864
- Provider Enumeration Date: 08/23/2010
- Last Update Date: 10/15/2018
Medical Identifiers
Medical identifiers for Maile Grace Davelaar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366758864 | NPI | - | NPPES |
| 2050159 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | LF60195205 (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. Maile Grace Davelaar 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 |
|---|
Maile Grace Davelaar, LMFT
9041 Derby Canyon Rd,
Peshastin, WA 98847-9754
Ph: (509) 679-8749 | Maile Grace Davelaar, LMFT
10090 Main St Apt H,
Peshastin, WA 98847-9770
Ph: (509) 676-6009 |
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