| |
21601 76th Ave W Edmonds WA 98026-7507 | |
(425) 640-4000 | |
(425) 640-4455 |
Full Name | |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 21601 76th Ave W, Edmonds, Washington |
Authorized Official Name and Position | Vicki S Farretta (MANAGER) |
Authorized Official Contact | 4256733374 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 91000 Edmonds WA 98026-2100 Ph: (425) 673-3374 | 21601 76th Ave W Edmonds WA 98026-7507 Ph: (425) 640-4000 |
NPI Number | 1043428352 |
---|---|
Provider Enumeration Date | 05/18/2007 |
Last Update Date | 08/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043428352 | NPI | - | NPPES |
7060486 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Acorn Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Main St Ste A1, Edmonds, WA 98020 Phone: 425-242-7187 Fax: 425-333-7771 | |
Edmonds Psychological And Pastoral Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 3rd Ave N, Suite 102, Edmonds, WA 98020 Phone: 206-550-0783 | |
Stratagem Educational Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8318 196th St Sw Fl 2, Edmonds, WA 98026 Phone: 206-580-3723 | |