| Moment By Moment Suicide Prevention | |
|
330 King St., Ste 5 Wenatchee WA 98801-2857 | |
| (509) 881-4059 | |
| Not Available |
| Full Name | Moment By Moment Suicide Prevention |
|---|---|
| Speciality | Psychologist |
| Location | 330 King St., Ste 5, Wenatchee, Washington |
| Authorized Official Name and Position | Julie A Rickard (CEO) |
| Authorized Official Contact | 5098814059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moment By Moment Suicide Prevention 3326 Nw Fir Ave East Wenatchee WA 98802-8280 Ph: (509) 881-8193 | Moment By Moment Suicide Prevention 330 King St., Ste 5 Wenatchee WA 98801-2857 Ph: (509) 881-4059 |
| NPI Number | 1841832367 |
|---|---|
| Provider Enumeration Date | 10/16/2019 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 4587093323 |
|---|---|
| Medicare Enrollment ID | O20200331000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841832367 | NPI | - | NPPES |
| 1982634069 | Medicaid | WA | |
| 2145293 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Julie A Rickard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982634069 PECOS PAC ID: 9830194596 Enrollment ID: I20061002000411 |
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