| Peter Thomas, Phd | |
|
19018 Corliss Ave N Ste 300 Shoreline WA 98133-4146 | |
| (206) 356-8724 | |
| (206) 417-2841 |
| Full Name | Peter Thomas, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 19018 Corliss Ave N Ste 300, Shoreline, Washington |
| Authorized Official Name and Position | Peter M Thomas (OWNER) |
| Authorized Official Contact | 2063568724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Thomas, Phd 19018 Corliss Ave N Ste 300 Shoreline WA 98133-4146 Ph: (206) 356-8724 | Peter Thomas, Phd 19018 Corliss Ave N Ste 300 Shoreline WA 98133-4146 Ph: (206) 356-8724 |
| NPI Number | 1649383613 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Medicare PECOS PAC ID | 1254326663 |
|---|---|
| Medicare Enrollment ID | O20040415001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649383613 | NPI | - | NPPES |
| 8912335 | Other | WA | CRIME VICTIMS COMP PROV# |
| 78567 | Other | WA | LABOR & INDUSTRIES PROV# |
| AETNA | Other | WA | 5113341 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1172 (Washington) | Primary |
| Provider Name | Peter M Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376656363 PECOS PAC ID: 7315932720 Enrollment ID: I20040927000224 |
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