| Neureval | |
|
20186 Front St Ne Poulsbo WA 98370-7445 | |
| (360) 930-3354 | |
| (360) 930-3356 |
| Full Name | Neureval |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 20186 Front St Ne, Poulsbo, Washington |
| Authorized Official Name and Position | Kurt David Nielsen (CLINICAL PYSCHOLOGIST) |
| Authorized Official Contact | 3609303355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neureval Po Box 221 Poulsbo WA 98370-0221 Ph: (206) 650-6231 | Neureval 20186 Front St Ne Poulsbo WA 98370-7445 Ph: (360) 930-3354 |
| NPI Number | 1679069496 |
|---|---|
| Provider Enumeration Date | 07/04/2018 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679069496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Washington) | Primary |
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