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11311 Bridgeport Way Sw Ste 205 Lakewood WA 98499-3071 | |
(253) 552-4102 | |
(253) 552-4175 |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 11311 Bridgeport Way Sw, Lakewood, Washington |
Authorized Official Name and Position | Dean Field (CMO) |
Authorized Official Contact | 2536804009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11311 Bridgeport Way Sw Ste 205 Lakewood WA 98499-3071 Ph: (253) 552-4102 | 11311 Bridgeport Way Sw Ste 205 Lakewood WA 98499-3071 Ph: (253) 552-4102 |
NPI Number | 1962722868 |
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Provider Enumeration Date | 06/03/2010 |
Last Update Date | 06/03/2010 |
Identifier | Type | State | Issuer |
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1962722868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |