| Clinical And Neuropsychological Services, Inc | |
|
87 Swinomish Dr La Conner WA 98257-9634 | |
| (206) 321-9391 | |
| Not Available |
| Full Name | Clinical And Neuropsychological Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 87 Swinomish Dr, La Conner, Washington |
| Authorized Official Name and Position | Elga Kinnear (OWNER) |
| Authorized Official Contact | 2063219391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical And Neuropsychological Services, Inc 1621 Freeway Dr Ste 200 Tridex Professional Building Mount Vernon WA 98273-2462 Ph: (206) 321-9391 | Clinical And Neuropsychological Services, Inc 87 Swinomish Dr La Conner WA 98257-9634 Ph: (206) 321-9391 |
| NPI Number | 1336490374 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Medicare PECOS PAC ID | 0446409163 |
|---|---|
| Medicare Enrollment ID | O20121012000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336490374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY 60263822 (Washington) | Primary |
| Provider Name | Elga Kinnear |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265793723 PECOS PAC ID: 0143476382 Enrollment ID: I20120803000561 |
Swinomish Wellness Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17337 Reservation Rd, La Conner, WA 98257 Phone: 360-466-1024 Fax: 360-466-7634 | |
Swinomish Tribal Community Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17395 Reservation Rd, La Conner, WA 98257 Phone: 360-466-1275 Fax: 360-466-7301 |