| Daniel G Thomsen Phd Ps | |
|
127 E Intercity Ave Suite A Everett WA 98208-2732 | |
| (425) 347-7275 | |
| (425) 355-0626 |
| Full Name | Daniel G Thomsen Phd Ps |
|---|---|
| Speciality | Psychologist |
| Location | 127 E Intercity Ave, Everett, Washington |
| Authorized Official Name and Position | Daniel Grant Thomsen (PRESIDENT OWNER) |
| Authorized Official Contact | 4253477275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel G Thomsen Phd Ps 127 E Intercity Ave Suite A Everett WA 98208-2732 Ph: (425) 347-7275 | Daniel G Thomsen Phd Ps 127 E Intercity Ave Suite A Everett WA 98208-2732 Ph: (425) 347-7275 |
| NPI Number | 1710190186 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2860775897 |
|---|---|
| Medicare Enrollment ID | O20170216001843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710190186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00001824 (Washington) | Primary |
| Provider Name | Daniel Thomsen |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1508970716 PECOS PAC ID: 6204119233 Enrollment ID: I20170216002026 |
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