Nancy Huenefeld, Inc | |
4315 Factoria Blvd Se Ste B Bellevue WA 98006-1930 | |
(425) 495-2609 | |
(425) 590-9199 |
Full Name | Nancy Huenefeld, Inc |
---|---|
Speciality | Psychologist |
Location | 4315 Factoria Blvd Se, Bellevue, Washington |
Authorized Official Name and Position | Nancy Huenefeld (PRESIDENT) |
Authorized Official Contact | 4254952609 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nancy Huenefeld, Inc Po Box 1974 Bellevue WA 98009-1974 Ph: (425) 495-2609 | Nancy Huenefeld, Inc 4315 Factoria Blvd Se Ste B Bellevue WA 98006-1930 Ph: (425) 495-2609 |
NPI Number | 1609194380 |
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Provider Enumeration Date | 05/05/2010 |
Last Update Date | 03/16/2016 |
Medicare PECOS PAC ID | 3678698941 |
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Medicare Enrollment ID | O20100910000517 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609194380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 00002345 (Washington) | Primary |
Provider Name | Nancy Huenefeld Gese |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780672857 PECOS PAC ID: 1052452737 Enrollment ID: I20091231000377 |
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