Agate Passage Psychological Services, Inc. Ps | |
785 Ericksen Ave Ne Suite 117 Bainbridge Island WA 98110-1875 | |
(206) 842-9949 | |
(360) 697-1079 |
Full Name | Agate Passage Psychological Services, Inc. Ps |
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Speciality | Psychologist |
Location | 785 Ericksen Ave Ne, Bainbridge Island, Washington |
Authorized Official Name and Position | Suzanne Bachman Ivey (PRESIDENT) |
Authorized Official Contact | 2068429949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agate Passage Psychological Services, Inc. Ps 785 Ericksen Ave Ne Suite 117 Bainbridge Island WA 98110-1875 Ph: (206) 842-9949 | Agate Passage Psychological Services, Inc. Ps 785 Ericksen Ave Ne Suite 117 Bainbridge Island WA 98110-1875 Ph: (206) 842-9949 |
NPI Number | 1760522627 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760522627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY00001604 (Washington) | Primary |
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