| Prudent Psychological Services | |
|
309 E Main St Ste 5 Auburn WA 98002-5540 | |
| (253) 434-3825 | |
| Not Available |
| Full Name | Prudent Psychological Services |
|---|---|
| Speciality | Counselor |
| Location | 309 E Main St Ste 5, Auburn, Washington |
| Authorized Official Name and Position | Ferlicia Fergusson-prudent (OWNER) |
| Authorized Official Contact | 2539872424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prudent Psychological Services 309 E Main St Ste 5 Auburn WA 98002-5540 Ph: (253) 434-3825 | Prudent Psychological Services 309 E Main St Ste 5 Auburn WA 98002-5540 Ph: (253) 434-3825 |
| NPI Number | 1386429082 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 9032561121 |
|---|---|
| Medicare Enrollment ID | O20240112004097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386429082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Noelle Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457701898 PECOS PAC ID: 7315230323 Enrollment ID: I20200317002560 |
| Provider Name | Ferlicia Fergusson-prudent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205317211 PECOS PAC ID: 4587016670 Enrollment ID: I20240112004123 |
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