| Nikki J. Stypa, Psy.d., Pllc | |
|
1240 Se Bishop Blvd Ste. Q Pullman WA 99163-5439 | |
| (509) 334-0782 | |
| Not Available |
| Full Name | Nikki J. Stypa, Psy.d., Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1240 Se Bishop Blvd, Pullman, Washington |
| Authorized Official Name and Position | Nikki Stypa (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5093340782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki J. Stypa, Psy.d., Pllc 1240 Se Bishop Blvd Ste. Q Pullman WA 99163-5439 Ph: (509) 334-0782 | Nikki J. Stypa, Psy.d., Pllc 1240 Se Bishop Blvd Ste. Q Pullman WA 99163-5439 Ph: (509) 334-0782 |
| NPI Number | 1275080962 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
| Medicare PECOS PAC ID | 0648567826 |
|---|---|
| Medicare Enrollment ID | O20161003001992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275080962 | NPI | - | NPPES |
| 1841646882 | Other | WA | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY60481617 (Washington) | Primary |
| Provider Name | Nikki Jo Stypa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841646882 PECOS PAC ID: 1557658739 Enrollment ID: I20161004000200 |
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