| A Rooted Life Psychotherapy Pllc | |
|
1855 Main St Ste 208 Ferndale WA 98248-9060 | |
| (360) 319-9930 | |
| Not Available |
| Full Name | A Rooted Life Psychotherapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1855 Main St Ste 208, Ferndale, Washington |
| Authorized Official Name and Position | Jennifer Bayer (OWNER) |
| Authorized Official Contact | 3603199930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Rooted Life Psychotherapy Pllc 1140 10th St Ste 203 Bellingham WA 98225-7053 Ph: (360) 391-9930 | A Rooted Life Psychotherapy Pllc 1855 Main St Ste 208 Ferndale WA 98248-9060 Ph: (360) 319-9930 |
| NPI Number | 1588123640 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 8426382045 |
|---|---|
| Medicare Enrollment ID | O20190701001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588123640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Bayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972069029 PECOS PAC ID: 2062746688 Enrollment ID: I20190701001973 |
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