| Behavioral Counseling Associates Ps | |
|
1812 Sumner Ave Aberdeen WA 98520-4602 | |
| (360) 532-0060 | |
| Not Available |
| Full Name | Behavioral Counseling Associates Ps |
|---|---|
| Speciality | Psychologist |
| Location | 1812 Sumner Ave, Aberdeen, Washington |
| Authorized Official Name and Position | Monty L Meier (PRESIDENT) |
| Authorized Official Contact | 3605320060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Counseling Associates Ps 1812 Sumner Ave Aberdeen WA 98520-4602 Ph: (360) 532-0060 | Behavioral Counseling Associates Ps 1812 Sumner Ave Aberdeen WA 98520-4602 Ph: (360) 532-0060 |
| NPI Number | 1215071717 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 12/04/2008 |
| Medicare PECOS PAC ID | 6103920475 |
|---|---|
| Medicare Enrollment ID | O20070326000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215071717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1262 (Washington) | Primary |
| Provider Name | Monty L Meier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043231590 PECOS PAC ID: 2567480296 Enrollment ID: I20051110000501 |
| Provider Name | Susannah E David |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487738712 PECOS PAC ID: 8628076072 Enrollment ID: I20061117000387 |
| Provider Name | Peter J Snell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609993344 PECOS PAC ID: 0042345993 Enrollment ID: I20100317000147 |
| Provider Name | Victoria A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447219779 PECOS PAC ID: 6002878089 Enrollment ID: I20120509000101 |
| Provider Name | Richard P Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457761314 PECOS PAC ID: 5991921116 Enrollment ID: I20140724001488 |
| Provider Name | Patrick Demarco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881624302 PECOS PAC ID: 5698722338 Enrollment ID: I20160309002135 |
| Provider Name | Edward Charles Herman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003278755 PECOS PAC ID: 2567740889 Enrollment ID: I20161020001326 |
| Provider Name | Matthew Allen Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801324991 PECOS PAC ID: 6800162421 Enrollment ID: I20171026003118 |
| Provider Name | Thomas E Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093847915 PECOS PAC ID: 4284874447 Enrollment ID: I20191108000538 |
| Provider Name | Edward J Wilfong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215386248 PECOS PAC ID: 9032478680 Enrollment ID: I20210907003248 |
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