Sunshine Psychological Services | |
1655 Hudson St Suite 5 Longview WA 98632-2949 | |
(360) 747-7788 | |
Not Available |
Full Name | Sunshine Psychological Services |
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Speciality | Community/behavioral Health |
Location | 1655 Hudson St, Longview, Washington |
Authorized Official Name and Position | Sunshine Elisabeth Clark (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3607496721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunshine Psychological Services 1655 Hudson St Suite 5 Longview WA 98632-2949 Ph: (360) 747-7788 | Sunshine Psychological Services 1655 Hudson St Suite 5 Longview WA 98632-2949 Ph: (360) 747-7788 |
NPI Number | 1891174694 |
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Provider Enumeration Date | 05/26/2015 |
Last Update Date | 05/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891174694 | NPI | - | NPPES |
0205667 | Other | WA | LABOR AND INDUSTRIES |
8940692 | Other | WA | L AND I CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PY3397 (Washington) | Primary |
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