Timothy M. Reisenauer Phd | |
15418 Main Street Suite 301 Mill Creek WA 98012 | |
(425) 358-3262 | |
(425) 357-0924 |
Full Name | Timothy M. Reisenauer Phd |
---|---|
Speciality | Psychologist |
Location | 15418 Main Street, Mill Creek, Washington |
Authorized Official Name and Position | Timothy M Reisenauer (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 4253853262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Timothy M. Reisenauer Phd 15418 Main Street Suite 301 Mill Creek WA 98012 Ph: (425) 358-3262 | Timothy M. Reisenauer Phd 15418 Main Street Suite 301 Mill Creek WA 98012 Ph: (425) 358-3262 |
NPI Number | 1568525251 |
---|---|
Provider Enumeration Date | 12/18/2006 |
Last Update Date | 04/16/2014 |
Medicare PECOS PAC ID | 1850385733 |
---|---|
Medicare Enrollment ID | O20040413001064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568525251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1287 (Washington) | Primary |
Provider Name | Timothy M Reisenauer |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407032063 PECOS PAC ID: 3072507995 Enrollment ID: I20040414000339 |
Lindsay Kraemer, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15418 Main St Unit M301, Mill Creek, WA 98012 Phone: 425-610-6018 | |
John M. Zimburean, M.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15418 Main St, Suite 301, Mill Creek, WA 98012 Phone: 425-385-2960 Fax: 425-357-0924 | |
Susan B. Palmer-ansorg, Ph.d. Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, Suite 200, Mill Creek, WA 98012 Phone: 425-357-8023 | |
David G Rasmussen Psyd Ps Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16030 Bothell Everett Hwy, Suite 295, Mill Creek, WA 98012 Phone: 425-337-7133 | |
Savon Pharmacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3322 132nd St Se, Mill Creek, WA 98012 Phone: 425-388-1891 | |
Zion Counseling And Consultation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy Ste 200, Mill Creek, WA 98012 Phone: 707-340-9466 |