| Pacific Psychology, Inc | |
|
2110 Iron St Bellingham WA 98225-4123 | |
| (360) 734-2664 | |
| (360) 671-8006 |
| Full Name | Pacific Psychology, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2110 Iron St, Bellingham, Washington |
| Authorized Official Name and Position | Jason Prinster (OWNER) |
| Authorized Official Contact | 3607342664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychology, Inc 2110 Iron St Bellingham WA 98225-4123 Ph: (360) 734-2664 | Pacific Psychology, Inc 2110 Iron St Bellingham WA 98225-4123 Ph: (360) 734-2664 |
| NPI Number | 1548597420 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548597420 | NPI | - | NPPES |
| 0251572 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00003717 (Washington) | Primary |
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