| Olympic Psychology Services, Pllc | |
|
711 Court A Ste 114 Tacoma WA 98402-5227 | |
| (253) 269-6063 | |
| (360) 539-5938 |
| Full Name | Olympic Psychology Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 711 Court A Ste 114, Tacoma, Washington |
| Authorized Official Name and Position | Lisa Hardebeck (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2532696063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Psychology Services, Pllc 711 Court A Ste 114 Tacoma WA 98402-5227 Ph: (253) 269-6063 | Olympic Psychology Services, Pllc 711 Court A Ste 114 Tacoma WA 98402-5227 Ph: (253) 269-6063 |
| NPI Number | 1497114342 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 04/09/2019 |
| Medicare PECOS PAC ID | 8527393156 |
|---|---|
| Medicare Enrollment ID | O20190718000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497114342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY2596 (Washington) | Primary |
| Provider Name | Douglas W Lane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780732073 PECOS PAC ID: 0648243097 Enrollment ID: I20070823000067 |
| Provider Name | Brett A Parmenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841459195 PECOS PAC ID: 8325111834 Enrollment ID: I20080716000728 |
| Provider Name | Lisa M Hardebeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306823398 PECOS PAC ID: 8729313358 Enrollment ID: I20190718000875 |
| Provider Name | Ray J Katzenbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538404116 PECOS PAC ID: 2567896251 Enrollment ID: I20200107003424 |
| Provider Name | Erin Catlin Tansill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750968848 PECOS PAC ID: 0749677730 Enrollment ID: I20220421000699 |
| Provider Name | Emily Dinatale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306218466 PECOS PAC ID: 8921309063 Enrollment ID: I20231212001066 |
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