Ms Jamie Rose Feddock, MA is a
Behavior Analyst based in Seattle, Washington. Ms Jamie Rose Feddock is licensed to practice in * (Not Available) (license number 1-06-3182) and her current practice location is
1745 12th Ave S Apt 1, Seattle, Washington. She can be reached at her office (for appointments etc.) via phone at
(480) 650-0792.
NPI number for Ms Jamie Rose Feddock is 1437342839 and her current mailing address is 1745 12th Ave S Apt 1, Seattle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437342839.
Healthcare Provider's Profile
| Full Name | Ms Jamie Rose Feddock |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 1745 12th Ave S Apt 1, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437342839
- Provider Enumeration Date: 08/20/2007
- Last Update Date: 09/06/2010
Medical Identifiers
Medical identifiers for Ms Jamie Rose Feddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437342839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 1-06-3182 (Illinois) | Secondary |
| 103K00000X | Behavior Analyst | 1-06-3182 (* (Not Available)) | Primary |
| 101Y00000X | Counselor | CL60166749 (Washington) | Secondary |
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. Ms Jamie Rose Feddock 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 Address | Practice Location Address |
|---|
Ms Jamie Rose Feddock, MA
1745 12th Ave S Apt 1,
Seattle, WA 98144-4144
Ph: (480) 650-0792 | Ms Jamie Rose Feddock, MA
1745 12th Ave S Apt 1,
Seattle, WA 98144-4144
Ph: (480) 650-0792 |
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