Senior Connections | |
9340 Ne 76th St Vancouver WA 98662-3721 | |
(360) 253-4912 | |
(360) 253-5170 |
Full Name | Senior Connections |
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Speciality | Psychologist |
Location | 9340 Ne 76th St, Vancouver, Washington |
Authorized Official Name and Position | David W Agnor (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3602534912 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Senior Connections 9340 Ne 76th St Vancouver WA 98662-3721 Ph: (360) 253-4912 | Senior Connections 9340 Ne 76th St Vancouver WA 98662-3721 Ph: (360) 253-4912 |
NPI Number | 1487881488 |
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Provider Enumeration Date | 06/17/2009 |
Last Update Date | 06/17/2009 |
Medicare PECOS PAC ID | 4284789843 |
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Medicare Enrollment ID | O20090902000634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487881488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY00001983 (Washington) | Primary |
Provider Name | Vanya E Sandberg |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891014668 PECOS PAC ID: 1153453725 Enrollment ID: I20100716000496 |
Provider Name | Anna C Johnson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1578883013 PECOS PAC ID: 1355644972 Enrollment ID: I20160114001522 |
Provider Name | Rosemary Irene Piper |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265565964 PECOS PAC ID: 5092010819 Enrollment ID: I20160216001690 |
Provider Name | Nancy Bell Corbin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750739595 PECOS PAC ID: 2567755275 Enrollment ID: I20160718002235 |
Provider Name | Sneha L. A. Mcclincey |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396075495 PECOS PAC ID: 9830446731 Enrollment ID: I20180724001975 |
Provider Name | Haley Elizabeth Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548666209 PECOS PAC ID: 1153695309 Enrollment ID: I20180912003337 |
Provider Name | Carol Lee Tyler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881715464 PECOS PAC ID: 8123351871 Enrollment ID: I20190611003608 |
Provider Name | Robert Eric Johnson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306037445 PECOS PAC ID: 5395145288 Enrollment ID: I20210615000888 |
Provider Name | Mary Blaine Atwater |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386303048 PECOS PAC ID: 5991141152 Enrollment ID: I20240311000082 |
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