| Lifespan Psychological Services, Ps | |
|
11290 Sunrise Dr Ne Suite B Bainbridge Island WA 98110-1353 | |
| (206) 780-7782 | |
| (206) 780-1964 |
| Full Name | Lifespan Psychological Services, Ps |
|---|---|
| Speciality | Psychologist |
| Location | 11290 Sunrise Dr Ne, Bainbridge Island, Washington |
| Authorized Official Name and Position | Steven Eric Curtis (PRESIDENT) |
| Authorized Official Contact | 2067807782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Psychological Services, Ps 11290 Sunrise Dr Ne Ste B Bainbridge Island WA 98110-1353 Ph: (206) 780-7782 | Lifespan Psychological Services, Ps 11290 Sunrise Dr Ne Suite B Bainbridge Island WA 98110-1353 Ph: (206) 780-7782 |
| NPI Number | 1366503633 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 09/26/2025 |
| Certification Date | 09/26/2025 |
| Medicare PECOS PAC ID | 8224326384 |
|---|---|
| Medicare Enrollment ID | O20161005002866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366503633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jane Ellen Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295926210 PECOS PAC ID: 3678744208 Enrollment ID: I20110912000548 |
| Provider Name | Steven Eric Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770774176 PECOS PAC ID: 9133417298 Enrollment ID: I20200825000183 |
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