| Growth And Healing Psychological Services, Inc | |
|
401 Broadway Ste 10096827 Tacoma WA 98402-3900 | |
| (206) 339-7327 | |
| Not Available |
| Full Name | Growth And Healing Psychological Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 401 Broadway Ste 10096827, Tacoma, Washington |
| Authorized Official Name and Position | Kathleen King (PRESIDENT) |
| Authorized Official Contact | 4253646604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth And Healing Psychological Services, Inc 401 Broadway Ste 10096827 Tacoma WA 98402-3900 Ph: (425) 364-6604 | Growth And Healing Psychological Services, Inc 401 Broadway Ste 10096827 Tacoma WA 98402-3900 Ph: (206) 339-7327 |
| NPI Number | 1154022390 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 6204292022 |
|---|---|
| Medicare Enrollment ID | O20230522002049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154022390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kathleen A. King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063644276 PECOS PAC ID: 2062724099 Enrollment ID: I20150706001616 |
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