| Olympic Psychology Services, Pllc | |
|
711 Court A Ste 114 Tacoma WA 98402-5227 | |
| (253) 269-6063 | |
| (360) 539-5938 |
| Full Name | Olympic Psychology Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 711 Court A Ste 114, Tacoma, Washington |
| Authorized Official Name and Position | Lisa Hardebeck (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2532696063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Psychology Services, Pllc 711 Court A Ste 114 Tacoma WA 98402-5227 Ph: (253) 269-6063 | Olympic Psychology Services, Pllc 711 Court A Ste 114 Tacoma WA 98402-5227 Ph: (253) 269-6063 |
| NPI Number | 1497114342 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 04/09/2019 |
| Medicare PECOS PAC ID | 8527393156 |
|---|---|
| Medicare Enrollment ID | O20190718000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497114342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY2596 (Washington) | Primary |
| Provider Name | Douglas W Lane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780732073 PECOS PAC ID: 0648243097 Enrollment ID: I20070823000067 |
| Provider Name | Brett A Parmenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841459195 PECOS PAC ID: 8325111834 Enrollment ID: I20080716000728 |
| Provider Name | Megan M Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043607484 PECOS PAC ID: 0840502431 Enrollment ID: I20161108002484 |
| Provider Name | Lisa M Hardebeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306823398 PECOS PAC ID: 8729313358 Enrollment ID: I20190718000875 |
| Provider Name | Erin Catlin Tansill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750968848 PECOS PAC ID: 0749677730 Enrollment ID: I20220421000699 |
| Provider Name | Christopher Charles Engelmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093166118 PECOS PAC ID: 7810419140 Enrollment ID: I20250317001806 |
| Provider Name | Ashley Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518416452 PECOS PAC ID: 5799207627 Enrollment ID: I20250319003950 |
| Provider Name | Michael David Cohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295570794 PECOS PAC ID: 5991227878 Enrollment ID: I20250320000948 |
| Provider Name | Alyssa Noelle Rowland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487432753 PECOS PAC ID: 5193247849 Enrollment ID: I20250321002737 |
| Provider Name | Lesley Anne Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780234294 PECOS PAC ID: 4880117837 Enrollment ID: I20250331001742 |
| Provider Name | Louis Nieuwenhuizen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689101859 PECOS PAC ID: 3072889575 Enrollment ID: I20250401001913 |
| Provider Name | Gabriella M Luther |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265012884 PECOS PAC ID: 8921521824 Enrollment ID: I20250401002880 |
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