| Elevate Psychology Pllc | |
|
4810 Point Fosdick Dr #163 Gig Harbor WA 98335-1711 | |
| (253) 265-5584 | |
| Not Available |
| Full Name | Elevate Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4810 Point Fosdick Dr #163, Gig Harbor, Washington |
| Authorized Official Name and Position | Jessica Carlile (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2065904094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Psychology Pllc 4810 Point Fosdick Dr #163 Gig Harbor WA 98335-1711 Ph: (253) 265-5584 | Elevate Psychology Pllc 4810 Point Fosdick Dr #163 Gig Harbor WA 98335-1711 Ph: (253) 265-5584 |
| NPI Number | 1952906687 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Medicare PECOS PAC ID | 5698140994 |
|---|---|
| Medicare Enrollment ID | O20230418001332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952906687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica A Carlile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124354121 PECOS PAC ID: 3577938877 Enrollment ID: I20230418001529 |
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