| Northwest Psychological Resources Llc | |
|
945 11th Ave Suite B Longview WA 98632-2555 | |
| (360) 414-8600 | |
| (360) 636-7372 |
| Full Name | Northwest Psychological Resources Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 945 11th Ave, Longview, Washington |
| Authorized Official Name and Position | Elizabeth J Mcnabb (OFFICE MANAGER) |
| Authorized Official Contact | 3604148600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Psychological Resources Llc 945 11th Ave Suite B Longview WA 98632-2555 Ph: (360) 414-8600 | Northwest Psychological Resources Llc 945 11th Ave Suite B Longview WA 98632-2555 Ph: (360) 414-8600 |
| NPI Number | 1811079049 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 12/20/2007 |
| Medicare PECOS PAC ID | 0244122745 |
|---|---|
| Medicare Enrollment ID | O20040329000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811079049 | NPI | - | NPPES |
| 0126624 | Other | WA | LABOR AND INDUSTRIES |
| 112359 | Other | WA | KAISER |
| 0126624 | Other | WA | CRIME VICTIMS |
| Provider Name | Tina M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306832274 PECOS PAC ID: 3173574928 Enrollment ID: I20050209000332 |
| Provider Name | Fran J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215022546 PECOS PAC ID: 6002816105 Enrollment ID: I20070112000231 |
| Provider Name | Stephen S Meharg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164468609 PECOS PAC ID: 1254479173 Enrollment ID: I20091113000472 |
| Provider Name | Gary M Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225149032 PECOS PAC ID: 4183882202 Enrollment ID: I20120221000718 |
| Provider Name | Jan Gary Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730285008 PECOS PAC ID: 9537415062 Enrollment ID: I20180712003322 |
| Provider Name | Pamala Hedglin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669861308 PECOS PAC ID: 3375886526 Enrollment ID: I20190510000827 |
| Provider Name | Jennifer Frances Harder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902962749 PECOS PAC ID: 8325475957 Enrollment ID: I20200220002605 |
| Provider Name | Erica A Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922128206 PECOS PAC ID: 8628499134 Enrollment ID: I20200608002545 |
| Provider Name | Naomi Ruth Schwendemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306203435 PECOS PAC ID: 2769804590 Enrollment ID: I20200623003249 |
| Provider Name | Duncan James Calver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407322381 PECOS PAC ID: 1052792371 Enrollment ID: I20220718003803 |
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