| Puyallup Child And Teen Therapy | |
|
105 W Main Ste 105 Puyallup WA 98371-5388 | |
| (253) 234-4588 | |
| Not Available |
| Full Name | Puyallup Child And Teen Therapy |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 105 W Main Ste 105, Puyallup, Washington |
| Authorized Official Name and Position | Amee Elizabeth Respicio (OWNER) |
| Authorized Official Contact | 2063040788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puyallup Child And Teen Therapy 3655 Tribute Ave E Fife WA 98424-3751 Ph: (206) 304-0788 | Puyallup Child And Teen Therapy 105 W Main Ste 105 Puyallup WA 98371-5388 Ph: (253) 234-4588 |
| NPI Number | 1972204816 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972204816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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