| Neurobehavioral Health Associates, Llc | |
|
2118 Caton Way Sw Olympia WA 98502-1105 | |
| (360) 352-4602 | |
| (360) 352-3289 |
| Full Name | Neurobehavioral Health Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2118 Caton Way Sw, Olympia, Washington |
| Authorized Official Name and Position | John B. Powell (MEMBER) |
| Authorized Official Contact | 3603524602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Health Associates, Llc 2118 Caton Way Sw Olympia WA 98502-1105 Ph: (360) 352-4602 | Neurobehavioral Health Associates, Llc 2118 Caton Way Sw Olympia WA 98502-1105 Ph: (360) 352-4602 |
| NPI Number | 1326247438 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 5890889315 |
|---|---|
| Medicare Enrollment ID | O20070914000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326247438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2082 (Washington) | Primary |
| Provider Name | John B Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194793737 PECOS PAC ID: 0446350771 Enrollment ID: I20070716000173 |
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