Sanctuary Psychological Services | |
23107 100th Ave W Ste 5 Edmonds WA 98020-5062 | |
(425) 774-8049 | |
(425) 953-4340 |
Full Name | Sanctuary Psychological Services |
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Speciality | Psychologist - Clinical |
Location | 23107 100th Ave W Ste 5, Edmonds, Washington |
Authorized Official Name and Position | Sarah Groen-colyn (PRESIDENT) |
Authorized Official Contact | 4257748049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sanctuary Psychological Services 23107 100th Ave W Ste 5 Edmonds WA 98020-5062 Ph: (425) 774-8049 | Sanctuary Psychological Services 23107 100th Ave W Ste 5 Edmonds WA 98020-5062 Ph: (425) 774-8049 |
NPI Number | 1780902213 |
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Provider Enumeration Date | 05/07/2010 |
Last Update Date | 05/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780902213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY00002808 (Washington) | Primary |
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