Synchrony Psychological Services | |
100 N Morain St Ste 206 Kennewick WA 99336-2905 | |
(509) 579-0156 | |
(509) 491-3112 |
Full Name | Synchrony Psychological Services |
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Speciality | Clinic/Center |
Location | 100 N Morain St Ste 206, Kennewick, Washington |
Authorized Official Name and Position | Gary Charles Wolcott (MANAGING PARTNER) |
Authorized Official Contact | 5095790156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Synchrony Psychological Services 100 N Morain St Ste 206 Kennewick WA 99336-2905 Ph: (509) 579-0156 | Synchrony Psychological Services 100 N Morain St Ste 206 Kennewick WA 99336-2905 Ph: (509) 579-0156 |
NPI Number | 1184234718 |
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Provider Enumeration Date | 08/07/2020 |
Last Update Date | 06/23/2022 |
Certification Date | 06/23/2022 |
Medicare PECOS PAC ID | 9133549744 |
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Medicare Enrollment ID | O20201021000715 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184234718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Linda Sue Lindman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447363007 PECOS PAC ID: 1052348273 Enrollment ID: I20201105000530 |
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