Dr Jan Garver Bacon, PHD - Psychologist in Lakewood, WA

Dr Jan Garver Bacon, PHD is a Psychologist - Clinical based in Lakewood, Washington. Dr Jan Garver Bacon is licensed to practice in Washington (license number PY00001639) and his current practice location is 9125 Bridgeport Way Sw Ste 102, Lakewood, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 254-8284.

NPI number for Dr Jan Garver Bacon is 1457335820 and his current mailing address is 9125 Bridgeport Way Sw Ste 102, Lakewood, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457335820.

Contact Information

Dr Jan Garver Bacon, PHD
9125 Bridgeport Way Sw Ste 102,
Lakewood, WA 98499-2448
(253) 254-8284
(253) 276-0082

Map and Direction




Healthcare Provider's Profile

Full NameDr Jan Garver Bacon
GenderMale
SpecialityPsychologist - Clinical
Location9125 Bridgeport Way Sw Ste 102, Lakewood, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457335820
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 04/18/2018

Medical Identifiers

Medical identifiers for Dr Jan Garver Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457335820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY00001639 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jan Garver Bacon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jan Garver Bacon, PHD
9125 Bridgeport Way Sw Ste 102,
Lakewood, WA 98499-2448

Ph: (253) 254-8284
Dr Jan Garver Bacon, PHD
9125 Bridgeport Way Sw Ste 102,
Lakewood, WA 98499-2448

Ph: (253) 254-8284

Reviews and Comments


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