| Divorce Options, P.s. | |
|
3035 Island Crest Way Ste 112 Mercer Island WA 98040-2919 | |
| (206) 232-2898 | |
| (206) 382-0245 |
| Full Name | Divorce Options, P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 3035 Island Crest Way Ste 112, Mercer Island, Washington |
| Authorized Official Name and Position | Meredith L. Gilbert (OWNER) |
| Authorized Official Contact | 2062322898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divorce Options, P.s. 3035 Island Crest Way Ste 112 Mercer Island WA 98040-2919 Ph: (206) 232-2898 | Divorce Options, P.s. 3035 Island Crest Way Ste 112 Mercer Island WA 98040-2919 Ph: (206) 232-2898 |
| NPI Number | 1811325459 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Medicare PECOS PAC ID | 5092945709 |
|---|---|
| Medicare Enrollment ID | O20140225001305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811325459 | NPI | - | NPPES |
| G8889886 | Other | WA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY00003681 (Washington) | Primary |
| Provider Name | Meredith L Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407055619 PECOS PAC ID: 1254467616 Enrollment ID: I20100325000283 |
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