| Elevation Psychological Services Pllc | |
|
1503 Woodside Dr Fircrest WA 98466-5718 | |
| (253) 486-7735 | |
| Not Available |
| Full Name | Elevation Psychological Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1503 Woodside Dr, Fircrest, Washington |
| Authorized Official Name and Position | Ray Jason Katzenbach (MEMBER) |
| Authorized Official Contact | 2534867735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Psychological Services Pllc 1503 Woodside Dr Fircrest WA 98466-5718 Ph: (253) 486-7735 | Elevation Psychological Services Pllc 1503 Woodside Dr Fircrest WA 98466-5718 Ph: (253) 486-7735 |
| NPI Number | 1972366334 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 8426599986 |
|---|---|
| Medicare Enrollment ID | O20240924002677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972366334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ray J Katzenbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538404116 PECOS PAC ID: 2567896251 Enrollment ID: I20200107003424 |
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