| Kristy Ziemke Phd, Pllc | |
|
6642 S 193rd Pl Ste N106 Kent WA 98032-3109 | |
| (206) 909-7978 | |
| Not Available |
| Full Name | Kristy Ziemke Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6642 S 193rd Pl Ste N106, Kent, Washington |
| Authorized Official Name and Position | Kristy Ziemke (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2069097978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Ziemke Phd, Pllc Po Box 88994 Tukwila WA 98138-2994 Ph: (435) 770-8479 | Kristy Ziemke Phd, Pllc 6642 S 193rd Pl Ste N106 Kent WA 98032-3109 Ph: (206) 909-7978 |
| NPI Number | 1386241966 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Medicare PECOS PAC ID | 2567873904 |
|---|---|
| Medicare Enrollment ID | O20201116002312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386241966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kristy M Ziemke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871654954 PECOS PAC ID: 3476964818 Enrollment ID: I20201116002413 |
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