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4908 112th St Sw Lakewood WA 98499-5143 | |
(253) 985-6560 | |
(253) 985-6561 |
Full Name | |
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Speciality | Psychologist |
Location | 4908 112th St Sw, Lakewood, Washington |
Authorized Official Name and Position | Mike Fitzgerald (VP FINANCIAL OPS) |
Authorized Official Contact | 2536804005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4908 112th St Sw Lakewood WA 98499-5143 Ph: (253) 985-6560 | 4908 112th St Sw Lakewood WA 98499-5143 Ph: (253) 985-6560 |
NPI Number | 1093952145 |
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Provider Enumeration Date | 01/12/2009 |
Last Update Date | 02/05/2009 |
Identifier | Type | State | Issuer |
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1093952145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (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 | |