Epic Possibilities And Development | |
3435 Martin Way E Ste H-1 Olympia WA 98506-5071 | |
(714) 381-2561 | |
Not Available |
Full Name | Epic Possibilities And Development |
---|---|
Speciality | Psychologist |
Location | 3435 Martin Way E Ste H-1, Olympia, Washington |
Authorized Official Name and Position | Denise Michelle Haselwood (CO-OWNER) |
Authorized Official Contact | 3604805388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Epic Possibilities And Development 3435 Martin Way E Ste H1 Olympia WA 98506-5071 Ph: (360) 480-5388 | Epic Possibilities And Development 3435 Martin Way E Ste H-1 Olympia WA 98506-5071 Ph: (714) 381-2561 |
NPI Number | 1881295566 |
---|---|
Provider Enumeration Date | 11/08/2020 |
Last Update Date | 11/07/2024 |
Certification Date | 11/07/2024 |
Medicare PECOS PAC ID | 5890102016 |
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Medicare Enrollment ID | O20210405001798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881295566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Denise M Haselwood |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548727324 PECOS PAC ID: 5092057216 Enrollment ID: I20190508001161 |
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