| |
4606 108th St Sw Lakewood WA 98499-4146 | |
(253) 693-2626 | |
Not Available |
Full Name | |
---|---|
Speciality | Behavior Analyst |
Location | 4606 108th St Sw, Lakewood, Washington |
Authorized Official Name and Position | Brianne L Edwards (MANAGER) |
Authorized Official Contact | 2536932626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4606 108th St Sw Lakewood WA 98499-4146 Ph: (253) 693-2626 | 4606 108th St Sw Lakewood WA 98499-4146 Ph: (253) 693-2626 |
NPI Number | 1083263735 |
---|---|
Provider Enumeration Date | 09/05/2019 |
Last Update Date | 04/20/2020 |
Certification Date | 04/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083263735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |