| Wellness And Rehabilitation Psychological Services, Pllc | |
|
10016 Edmonds Way Ste C121 Edmonds WA 98020-5107 | |
| (206) 445-2664 | |
| Not Available |
| Full Name | Wellness And Rehabilitation Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 10016 Edmonds Way Ste C121, Edmonds, Washington |
| Authorized Official Name and Position | Jennifer Stevenson Jutte (OWNER) |
| Authorized Official Contact | 2064452664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness And Rehabilitation Psychological Services, Pllc 10016 Edmonds Way Ste C121 Edmonds WA 98020-5107 Ph: (206) 445-2664 | Wellness And Rehabilitation Psychological Services, Pllc 10016 Edmonds Way Ste C121 Edmonds WA 98020-5107 Ph: (206) 445-2664 |
| NPI Number | 1225537798 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 05/18/2020 |
| Certification Date | 05/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225537798 | NPI | - | NPPES |
| 1689980302 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY60137402 (Washington) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PY60137402 (Washington) | Primary |
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