| Mynd Group Llc | |
|
1066 View Ridge Dr Oak Harbor WA 98277-8265 | |
| (425) 753-1836 | |
| Not Available |
| Full Name | Mynd Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1066 View Ridge Dr, Oak Harbor, Washington |
| Authorized Official Name and Position | Aaron Burdge (OWNER) |
| Authorized Official Contact | 4257531836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mynd Group Llc 1066 View Ridge Dr Oak Harbor WA 98277-8265 Ph: (425) 753-1836 | Mynd Group Llc 1066 View Ridge Dr Oak Harbor WA 98277-8265 Ph: (425) 753-1836 |
| NPI Number | 1588138333 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Medicare PECOS PAC ID | 0749527844 |
|---|---|
| Medicare Enrollment ID | O20190128002740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588138333 | NPI | - | NPPES |
| Provider Name | Aaron R Burdge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730500588 PECOS PAC ID: 7618276361 Enrollment ID: I20160429001843 |
| Provider Name | Amy Marie Epp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669986550 PECOS PAC ID: 4688935224 Enrollment ID: I20180222002782 |
| Provider Name | Jennifer A Laska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578838835 PECOS PAC ID: 1456790534 Enrollment ID: I20240423000759 |
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