Roland I Barach Phd Ps | |
8015 Se 28th St #201 Mercer Island WA 98040-2910 | |
(206) 439-1762 | |
Not Available |
Full Name | Roland I Barach Phd Ps |
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Speciality | Psychologist |
Location | 8015 Se 28th St, Mercer Island, Washington |
Authorized Official Name and Position | Roland Barach (PRESIDENT) |
Authorized Official Contact | 2064391762 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roland I Barach Phd Ps Po Box 1333 Mercer Island WA 98040-1333 Ph: (206) 439-1762 | Roland I Barach Phd Ps 8015 Se 28th St #201 Mercer Island WA 98040-2910 Ph: (206) 439-1762 |
NPI Number | 1255530804 |
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Provider Enumeration Date | 07/13/2007 |
Last Update Date | 06/24/2008 |
Medicare PECOS PAC ID | 7810884798 |
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Medicare Enrollment ID | O20040304000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255530804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 555 (Washington) | Primary |
103TC0700X | Psychologist - Clinical | 583 (Washington) | Secondary |
Provider Name | Roland Barach |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134278070 PECOS PAC ID: 0345137220 Enrollment ID: I20120127000231 |
Provider Name | Phyllis E Fiedler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164571014 PECOS PAC ID: 5294994133 Enrollment ID: I20120312000812 |
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