James Lolley | |
10740 Meridian Ave N Ste 107 Seattle WA 98133 | |
(206) 432-9020 | |
(206) 432-9437 |
Full Name | James Lolley |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 10740 Meridian Ave N Ste 107, Seattle, Washington |
Authorized Official Name and Position | James Edward Lolley (CO-OWNER) |
Authorized Official Contact | 2064329020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James Lolley 10740 Meridian Ave N Ste 107 Seattle WA 98133-9010 Ph: (206) 432-9020 | James Lolley 10740 Meridian Ave N Ste 107 Seattle WA 98133 Ph: (206) 432-9020 |
NPI Number | 1639685241 |
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Provider Enumeration Date | 12/19/2017 |
Last Update Date | 09/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639685241 | NPI | - | NPPES |
1427474618 | Other | INDIVIDUAL PROVIDER NPI | |
1962621284 | Other | INDIVIDUAL PROVIDER NPI | |
1639685241 | Other | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY60345764 (Washington) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (Washington) | Primary |
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