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640 E Whidbey Ave Oak Harbor WA 98277-5901 | |
| (360) 559-1446 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 640 E Whidbey Ave, Oak Harbor, Washington |
| Authorized Official Name and Position | Susanna Leigh L. Epp (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8083922098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10 Louise View Dr Bellingham WA 98229-4419 Ph: () - | 640 E Whidbey Ave Oak Harbor WA 98277-5901 Ph: (360) 559-1446 |
| NPI Number | 1922570977 |
|---|---|
| Provider Enumeration Date | 12/31/2018 |
| Last Update Date | 06/17/2019 |
| Medicare PECOS PAC ID | 1557692175 |
|---|---|
| Medicare Enrollment ID | O20191014001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922570977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Susanna Leigh Letoto Epp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952607723 PECOS PAC ID: 5698053585 Enrollment ID: I20161027001531 |
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