| Nancy Huenefeld, Inc | |
|
4315 Factoria Blvd Se Ste B Bellevue WA 98006-1930 | |
| (425) 495-2609 | |
| (425) 590-9199 |
| Full Name | Nancy Huenefeld, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4315 Factoria Blvd Se, Bellevue, Washington |
| Authorized Official Name and Position | Nancy Huenefeld (PRESIDENT) |
| Authorized Official Contact | 4254952609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Huenefeld, Inc Po Box 1974 Bellevue WA 98009-1974 Ph: (425) 495-2609 | Nancy Huenefeld, Inc 4315 Factoria Blvd Se Ste B Bellevue WA 98006-1930 Ph: (425) 495-2609 |
| NPI Number | 1609194380 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 03/16/2016 |
| Medicare PECOS PAC ID | 3678698941 |
|---|---|
| Medicare Enrollment ID | O20100910000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609194380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 00002345 (Washington) | Primary |
| Provider Name | Nancy Huenefeld Gese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780672857 PECOS PAC ID: 1052452737 Enrollment ID: I20091231000377 |
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