| Advanced Behavioral Medicine And Neuropsychology Associates, Pllc | |
|
2013 So 19th St Tacoma WA 98405 | |
| (253) 383-3355 | |
| (253) 383-3627 |
| Full Name | Advanced Behavioral Medicine And Neuropsychology Associates, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2013 So 19th St, Tacoma, Washington |
| Authorized Official Name and Position | Edwin L Hill (BUSINESS OWNER) |
| Authorized Official Contact | 2533833355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Medicine And Neuropsychology Associates, Pllc 2013 So 19th St Tacoma WA 98405 Ph: (253) 383-3355 | Advanced Behavioral Medicine And Neuropsychology Associates, Pllc 2013 So 19th St Tacoma WA 98405 Ph: (253) 383-3355 |
| NPI Number | 1558372268 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 3072401181 |
|---|---|
| Medicare Enrollment ID | O20040309001485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558372268 | NPI | - | NPPES |
| 492430 | Medicaid | WA | |
| 0062183 | Other | WA | DEPT OF L & I |
| P03806 | Other | WA | REGENCE BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 601916936 (Washington) | Primary |
| 103TC0700X | Psychologist - Clinical | 601916936 (Washington) | Secondary |
| Provider Name | David R Knopes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811034481 PECOS PAC ID: 4385744515 Enrollment ID: I20070717000241 |
| Provider Name | Kathryn A Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841633534 PECOS PAC ID: 8022252394 Enrollment ID: I20130926000722 |
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