Ty W Lostutter, PHD | |
4225 Roosevelt Way Ne, Seattle, WA 98105-6099 | |
(206) 598-7792 | |
Not Available |
Full Name | Ty W Lostutter |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 15 Years |
Location | 4225 Roosevelt Way Ne, Seattle, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013327055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY 60238397 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Association Of University Physicians | 0446162697 | 3017 |
Entity Name | The Association Of University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
Mailing Address | Practice Location Address |
---|---|
Ty W Lostutter, PHD 4225 Roosevelt Way Ne, Seattle, WA 98105-6099 Ph: (206) 598-7792 | Ty W Lostutter, PHD 4225 Roosevelt Way Ne, Seattle, WA 98105-6099 Ph: (206) 598-7792 |
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