Elizabeth Watt Psy D Llc | |
1140 10th St Ste 211 Bellingham WA 98225-7053 | |
(630) 363-1472 | |
(844) 621-7037 |
Full Name | Elizabeth Watt Psy D Llc |
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Speciality | Psychologist |
Location | 1140 10th St Ste 211, Bellingham, Washington |
Authorized Official Name and Position | Sherri Lewis (BILLING MANAGER) |
Authorized Official Contact | 3604419515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elizabeth Watt Psy D Llc 1140 10th St Ste 211 Bellingham WA 98225-7053 Ph: (630) 363-1472 | Elizabeth Watt Psy D Llc 1140 10th St Ste 211 Bellingham WA 98225-7053 Ph: (630) 363-1472 |
NPI Number | 1821577933 |
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Provider Enumeration Date | 08/09/2018 |
Last Update Date | 08/09/2018 |
Medicare PECOS PAC ID | 7517217995 |
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Medicare Enrollment ID | O20180905002883 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821577933 | NPI | - | NPPES |
2059830 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY60609307 (Washington) | Primary |
Provider Name | Elizabeth Watt |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1235590142 PECOS PAC ID: 0244580629 Enrollment ID: I20181001002282 |
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