Rosewood Psychology, P.c. | |
600 N 36th St Ste 321 Seattle WA 98103-8698 | |
(206) 880-0977 | |
(206) 299-4617 |
Full Name | Rosewood Psychology, P.c. |
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Speciality | Clinic/Center |
Location | 600 N 36th St Ste 321, Seattle, Washington |
Authorized Official Name and Position | John Deberry (PRESIDENT) |
Authorized Official Contact | 2068800977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rosewood Psychology, P.c. 600 N 36th St Ste 321 Seattle WA 98103-8698 Ph: (206) 880-0977 | Rosewood Psychology, P.c. 600 N 36th St Ste 321 Seattle WA 98103-8698 Ph: (206) 880-0977 |
NPI Number | 1588214167 |
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Provider Enumeration Date | 09/16/2019 |
Last Update Date | 12/02/2023 |
Certification Date | 12/02/2023 |
Medicare PECOS PAC ID | 1951733948 |
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Medicare Enrollment ID | O20191113000455 |
Identifier | Type | State | Issuer |
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1588214167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | John Allen Deberry |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205356698 PECOS PAC ID: 2365712338 Enrollment ID: I20170724003845 |
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