David W Elkins Jr, PHD | |
850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 | |
(509) 565-4000 | |
(509) 565-4705 |
Full Name | David W Elkins Jr |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 850 Maple Street, Medical Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215250741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY60111764 (Washington) | Primary |
Entity Name | Department Of Social Dept Of Shs Div Of Instns |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467440602 PECOS PAC ID: 9133013725 Enrollment ID: O20040213000028 |
Mailing Address | Practice Location Address |
---|---|
David W Elkins Jr, PHD Po Box 800, Eastern State Hospital, Medical Lake, WA 99022-0800 Ph: (509) 565-4000 | David W Elkins Jr, PHD 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Ph: (509) 565-4000 |
Dr. Darlene E. Walsh-martin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Christina L. Zampich, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015 | |
Dr. Patricia L. Gunderson, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015 | |
Lisa Mathews, Psychologist Medicare: Medicare Enrolled Practice Location: 850 W. Maple St., Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Gretchen L. Meader, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple St., Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Alton J Couturier, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 |