Lifespan Psychological Services, Ps | |
11290 Sunrise Dr Ne Suite B Bainbridge Island WA 98110-1353 | |
(206) 780-7782 | |
(206) 780-1964 |
Full Name | Lifespan Psychological Services, Ps |
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Speciality | Psychologist |
Location | 11290 Sunrise Dr Ne, Bainbridge Island, Washington |
Authorized Official Name and Position | Steven Curtis (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2067807782 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lifespan Psychological Services, Ps 11290 Sunrise Dr Ne Suite B Bainbridge Island WA 98110-1353 Ph: (206) 780-7782 | Lifespan Psychological Services, Ps 11290 Sunrise Dr Ne Suite B Bainbridge Island WA 98110-1353 Ph: (206) 780-7782 |
NPI Number | 1366503633 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 10/26/2016 |
Medicare PECOS PAC ID | 8224326384 |
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Medicare Enrollment ID | O20161005002866 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366503633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY00002203 (Washington) | Primary |
Provider Name | Jane Ellen Curtis |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295926210 PECOS PAC ID: 3678744208 Enrollment ID: I20110912000548 |
Provider Name | Steven Eric Curtis |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770774176 PECOS PAC ID: 9133417298 Enrollment ID: I20200825000183 |
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