Mind Links Consulting Pllc | |
2820 Northup Way Suite 105 Bellevue WA 98004-1419 | |
(425) 213-2848 | |
(253) 582-0695 |
Full Name | Mind Links Consulting Pllc |
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Speciality | Psychologist |
Location | 2820 Northup Way, Bellevue, Washington |
Authorized Official Name and Position | Brock Brandon Weedman (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 4252132848 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mind Links Consulting Pllc 2820 Northup Way Suite 105 Bellevue WA 98004-1419 Ph: (425) 213-2848 | Mind Links Consulting Pllc 2820 Northup Way Suite 105 Bellevue WA 98004-1419 Ph: (425) 213-2848 |
NPI Number | 1700957388 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9436158995 |
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Medicare Enrollment ID | O20061211000133 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700957388 | NPI | - | NPPES |
8902991 | Other | WA | CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY00003318 (Washington) | Primary |
Provider Name | Brock B Weedman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558346502 PECOS PAC ID: 7315945037 Enrollment ID: I20061113000398 |
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