Dialogical Therapy, Pllc | |
19410 Highway 99 Ste A263 Lynnwood WA 98036-5102 | |
(253) 212-3101 | |
(253) 212-3225 |
Full Name | Dialogical Therapy, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 19410 Highway 99 Ste A263, Lynnwood, Washington |
Authorized Official Name and Position | Fletcher B Taylor (MEDICAL DIRECTOR) |
Authorized Official Contact | 2532123101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dialogical Therapy, Pllc 19410 Highway 99 Ste A263 Lynnwood WA 98036-5102 Ph: (253) 212-3101 | Dialogical Therapy, Pllc 19410 Highway 99 Ste A263 Lynnwood WA 98036-5102 Ph: (253) 212-3101 |
NPI Number | 1194387332 |
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Provider Enumeration Date | 07/08/2019 |
Last Update Date | 10/04/2023 |
Certification Date | 10/04/2023 |
Medicare PECOS PAC ID | 4284060120 |
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Medicare Enrollment ID | O20200212001412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194387332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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