| Pacific Coast Psychological Services Llc | |
|
3515 Sw Alaska St Seattle WA 98126-2730 | |
| (253) 234-7226 | |
| Not Available |
| Full Name | Pacific Coast Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3515 Sw Alaska St, Seattle, Washington |
| Authorized Official Name and Position | Samuel Collier (OWNER) |
| Authorized Official Contact | 2532347226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Psychological Services Llc 5326 Sw Manning St Seattle WA 98116-3128 Ph: (253) 234-7226 | Pacific Coast Psychological Services Llc 3515 Sw Alaska St Seattle WA 98126-2730 Ph: (253) 234-7226 |
| NPI Number | 1598530248 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 6204272289 |
|---|---|
| Medicare Enrollment ID | O20240313000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598530248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Samuel Collier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831628031 PECOS PAC ID: 5496155566 Enrollment ID: I20210610001864 |
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