| Western Wa Medical Group Dept Of Psychology | |
|
3525 Colby Ave Ste 200 Everett WA 98201-4782 | |
| (425) 259-1366 | |
| (425) 252-4778 |
| Full Name | Western Wa Medical Group Dept Of Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 3525 Colby Ave Ste 200, Everett, Washington |
| Authorized Official Name and Position | Vicki Mcginnis (PRIVACY OFFICER) |
| Authorized Official Contact | 4252594041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wa Medical Group Dept Of Psychology 3525 Colby Ave Ste 200 Everett WA 98201-4782 Ph: (425) 259-1366 | Western Wa Medical Group Dept Of Psychology 3525 Colby Ave Ste 200 Everett WA 98201-4782 Ph: (425) 259-1366 |
| NPI Number | 1326266727 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326266727 | NPI | - | NPPES |
| 0202207 | Other | WA | LABOR & INDUSTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 601474013 (Washington) | Primary |
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