| Samantha Burns Artherholt, Phd, Llc | |
|
600 Stewart St Ste 724 Seattle WA 98101-1227 | |
| (414) 533-5825 | |
| Not Available |
| Full Name | Samantha Burns Artherholt, Phd, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Stewart St Ste 724, Seattle, Washington |
| Authorized Official Name and Position | Samantha Burns Artherholt (MEMBER/OWNER) |
| Authorized Official Contact | 2064120142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Burns Artherholt, Phd, Llc Po Box 27136 Seattle WA 98165-1536 Ph: (414) 533-5825 | Samantha Burns Artherholt, Phd, Llc 600 Stewart St Ste 724 Seattle WA 98101-1227 Ph: (414) 533-5825 |
| NPI Number | 1124423041 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/16/2022 |
| Medicare PECOS PAC ID | 8325329931 |
|---|---|
| Medicare Enrollment ID | O20161219002197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124423041 | NPI | - | NPPES |
| Provider Name | Samantha B Artherholt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548571904 PECOS PAC ID: 9234253485 Enrollment ID: I20100825000610 |
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