| Marcia Sue Chenoweth | |
|
200 E 22nd St Suite A Vancouver WA 98663-3266 | |
| (360) 696-2744 | |
| (360) 696-4811 |
| Full Name | Marcia Sue Chenoweth |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 200 E 22nd St, Vancouver, Washington |
| Authorized Official Name and Position | Marcia Sue Chenoweth (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3606962744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Sue Chenoweth 200 E 22nd St Suite A Vancouver WA 98663-3266 Ph: (360) 696-2744 | Marcia Sue Chenoweth 200 E 22nd St Suite A Vancouver WA 98663-3266 Ph: (360) 696-2744 |
| NPI Number | 1043459688 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043459688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00003694 (Washington) | Primary |
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