| Silverdale Psychiatric Services Llc | |
|
7191 Wagner Way Nw Suite 301 Gig Harbor WA 98335-6909 | |
| (253) 514-8076 | |
| (253) 514-8078 |
| Full Name | Silverdale Psychiatric Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7191 Wagner Way Nw, Gig Harbor, Washington |
| Authorized Official Name and Position | Carole Heine (OWNER/PROVIDER) |
| Authorized Official Contact | 2535887911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silverdale Psychiatric Services Llc Po Box 97115 Lakewood WA 98497-0115 Ph: (253) 588-7911 | Silverdale Psychiatric Services Llc 7191 Wagner Way Nw Suite 301 Gig Harbor WA 98335-6909 Ph: (253) 514-8076 |
| NPI Number | 1437447208 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437447208 | NPI | - | NPPES |
| LH00003850 | Other | WA | CAROLE'S MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LH00003850 (Washington) | Primary |
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