| Dialogical Therapy, Pllc | |
|
19410 Highway 99 Ste A263 Lynnwood WA 98036-5102 | |
| (253) 212-3101 | |
| (253) 212-3225 |
| Full Name | Dialogical Therapy, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19410 Highway 99 Ste A263, Lynnwood, Washington |
| Authorized Official Name and Position | Fletcher B Taylor (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2532123101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dialogical Therapy, Pllc 19410 Highway 99 Ste A263 Lynnwood WA 98036-5102 Ph: (253) 212-3101 | Dialogical Therapy, Pllc 19410 Highway 99 Ste A263 Lynnwood WA 98036-5102 Ph: (253) 212-3101 |
| NPI Number | 1194387332 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 4284060120 |
|---|---|
| Medicare Enrollment ID | O20200212001412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194387332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Fletcher B Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902942089 PECOS PAC ID: 9830371483 Enrollment ID: I20110303000457 |
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