| Joseph S. Vizzard, Ph.d., P.s, | |
|
8311 212th St Sw Edmonds WA 98026-7443 | |
| (425) 771-8011 | |
| (425) 771-8009 |
| Full Name | Joseph S. Vizzard, Ph.d., P.s, |
|---|---|
| Speciality | Psychologist |
| Location | 8311 212th St Sw, Edmonds, Washington |
| Authorized Official Name and Position | Joseh Stephen Vizzard (.PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 4257718011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph S. Vizzard, Ph.d., P.s, 8311 212th St Sw Edmonds WA 98026-7443 Ph: (425) 771-8011 | Joseph S. Vizzard, Ph.d., P.s, 8311 212th St Sw Edmonds WA 98026-7443 Ph: (425) 771-8011 |
| NPI Number | 1053511360 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053511360 | NPI | - | NPPES |
| VI9735 | Other | WA | REGENCE INSURANCE |
| 7115884 | Medicaid | WA | |
| 37852 | Other | WA | DEPARTMENT OF LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY0001307 (Washington) | Primary |
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