Crescent Psychiatry Pllc | |
3819 100th St Sw Suite 7-c Lakewood WA 98499-4470 | |
(253) 588-7911 | |
(253) 984-6774 |
Full Name | Crescent Psychiatry Pllc |
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Speciality | Psychologist - Clinical |
Location | 3819 100th St Sw, Lakewood, Washington |
Authorized Official Name and Position | Vanraj Varu (PROVIDER/OWNER) |
Authorized Official Contact | 2535148076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crescent Psychiatry Pllc 7191 Wagner Way Nw Suite 301 Gig Harbor WA 98335-6909 Ph: (253) 514-8076 | Crescent Psychiatry Pllc 3819 100th St Sw Suite 7-c Lakewood WA 98499-4470 Ph: (253) 588-7911 |
NPI Number | 1245462134 |
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Provider Enumeration Date | 08/11/2009 |
Last Update Date | 08/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245462134 | NPI | - | NPPES |
0243791 | Other | WA | LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | MD00030816 (Washington) | 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 | |