| Pullman Behavioral Health Pllc | |
|
405 S Grand Ave Ste A Pullman WA 99163-2712 | |
| (661) 496-7367 | |
| Not Available |
| Full Name | Pullman Behavioral Health Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 405 S Grand Ave Ste A, Pullman, Washington |
| Authorized Official Name and Position | Kathleen Caffrey (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5093396401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pullman Behavioral Health Pllc 405 S Grand Ave Ste A Pullman WA 99163-2712 Ph: () - | Pullman Behavioral Health Pllc 405 S Grand Ave Ste A Pullman WA 99163-2712 Ph: (661) 496-7367 |
| NPI Number | 1811695737 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 3173998655 |
|---|---|
| Medicare Enrollment ID | O20230414001510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811695737 | NPI | - | NPPES |
| Provider Name | Chad J Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255873857 PECOS PAC ID: 3779853734 Enrollment ID: I20170724003554 |
| Provider Name | Kathleen Susan Caffrey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306428016 PECOS PAC ID: 4981003068 Enrollment ID: I20210521000581 |
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