| Paul Reppas Phd Pllc | |
|
23 S Wenatchee Ave Ste 202 Wenatchee WA 98801-2264 | |
| (509) 885-9045 | |
| (509) 885-9045 |
| Full Name | Paul Reppas Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 23 S Wenatchee Ave, Wenatchee, Washington |
| Authorized Official Name and Position | Paul Reppas (OWNER) |
| Authorized Official Contact | 5098859045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Reppas Phd Pllc 23 S Wenatchee Ave Ste 202 Wenatchee WA 98801-2264 Ph: (509) 885-9045 | Paul Reppas Phd Pllc 23 S Wenatchee Ave Ste 202 Wenatchee WA 98801-2264 Ph: (509) 885-9045 |
| NPI Number | 1467986430 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/24/2017 |
| Medicare PECOS PAC ID | 9739459082 |
|---|---|
| Medicare Enrollment ID | O20170720000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467986430 | NPI | - | NPPES |
| 2077655 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY60711473 (Washington) | Primary |
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