Sparrow Psychology, Pllc | |
8641 236th Ave Ne Redmond WA 98053-1977 | |
(510) 593-5424 | |
Not Available |
Full Name | Sparrow Psychology, Pllc |
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Speciality | Psychologist |
Location | 8641 236th Ave Ne, Redmond, Washington |
Authorized Official Name and Position | Joanne K Sparrow (SOLE OWNER) |
Authorized Official Contact | 5105935424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sparrow Psychology, Pllc 8641 236th Ave Ne Redmond WA 98053-1977 Ph: (510) 593-5424 | Sparrow Psychology, Pllc 8641 236th Ave Ne Redmond WA 98053-1977 Ph: (510) 593-5424 |
NPI Number | 1003513904 |
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Provider Enumeration Date | 02/10/2023 |
Last Update Date | 02/10/2023 |
Certification Date | 02/10/2023 |
Medicare PECOS PAC ID | 4880069673 |
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Medicare Enrollment ID | O20230410000740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003513904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Joanne Kathrina Sparrow |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366897837 PECOS PAC ID: 4688095433 Enrollment ID: I20200602002703 |
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