| |
750 Swift Blvd Ste 4 Richland WA 99352-3521 | |
(541) 612-0120 | |
(509) 591-4296 |
Full Name | |
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Speciality | Psychologist |
Location | 750 Swift Blvd Ste 4, Richland, Washington |
Authorized Official Name and Position | Adrian Deluna Garcia (OWNER) |
Authorized Official Contact | 5098322365 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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507 George Washington Way Richland WA 99352-4420 Ph: (509) 832-2365 | 750 Swift Blvd Ste 4 Richland WA 99352-3521 Ph: (541) 612-0120 |
NPI Number | 1770011579 |
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Provider Enumeration Date | 05/24/2017 |
Last Update Date | 06/29/2023 |
Certification Date | 06/29/2023 |
Medicare PECOS PAC ID | 5890192058 |
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Medicare Enrollment ID | O20210930002247 |
Identifier | Type | State | Issuer |
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1770011579 | NPI | - | NPPES |
Provider Name | Adrian Deluna Garcia |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174927446 PECOS PAC ID: 6709283963 Enrollment ID: I20210930002410 |
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