| Mind Body Professional Center | |
|
15406 Meridian E Ste 103 Puyallup WA 98375-9504 | |
| (253) 278-9292 | |
| (253) 604-6237 |
| Full Name | Mind Body Professional Center |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 15406 Meridian E Ste 103, Puyallup, Washington |
| Authorized Official Name and Position | Rebecca Lynn Beutler (MANAGER) |
| Authorized Official Contact | 2532789292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Professional Center Po Box 1331 Puyallup WA 98371-0243 Ph: (253) 278-9292 | Mind Body Professional Center 15406 Meridian E Ste 103 Puyallup WA 98375-9504 Ph: (253) 278-9292 |
| NPI Number | 1578974143 |
|---|---|
| Provider Enumeration Date | 05/16/2014 |
| Last Update Date | 05/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578974143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY60318110 (Washington) | Primary |
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