| Olympia Neuropsychology | |
|
2118 Caton Way Sw Olympia WA 98502-1105 | |
| (360) 858-6802 | |
| Not Available |
| Full Name | Olympia Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2118 Caton Way Sw, Olympia, Washington |
| Authorized Official Name and Position | Michelle Babcock (OWNER) |
| Authorized Official Contact | 3608586802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Neuropsychology 2118 Caton Way Sw Olympia WA 98502-1105 Ph: (360) 858-6802 | Olympia Neuropsychology 2118 Caton Way Sw Olympia WA 98502-1105 Ph: (360) 858-6802 |
| NPI Number | 1396505046 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 3577901545 |
|---|---|
| Medicare Enrollment ID | O20240410000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396505046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Michelle Lea Babcock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023422573 PECOS PAC ID: 8921446998 Enrollment ID: I20240410000494 |
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