| Dr. Mary H. Kolpacoff, Inc., P.s. | |
|
1400 112th Ave Se #221 Bellevue WA 98004-6901 | |
| (425) 451-9492 | |
| Not Available |
| Full Name | Dr. Mary H. Kolpacoff, Inc., P.s. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1400 112th Ave Se, Bellevue, Washington |
| Authorized Official Name and Position | Mary Kolpacoff (PSYCHOLOGIST) |
| Authorized Official Contact | 4254519492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary H. Kolpacoff, Inc., P.s. 1400 112th Ave Se #221 Bellevue WA 98004-6901 Ph: (425) 451-9492 | Dr. Mary H. Kolpacoff, Inc., P.s. 1400 112th Ave Se #221 Bellevue WA 98004-6901 Ph: (425) 451-9492 |
| NPI Number | 1457654428 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457654428 | NPI | - | NPPES |
| 1144343591 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 996 (Washington) | Primary |
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