| Phillip S. Tate Phd, Pllc | |
|
12303 Meridian E Ste 202 Puyallup WA 98373-3418 | |
| (253) 268-0854 | |
| (253) 268-0854 |
| Full Name | Phillip S. Tate Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 12303 Meridian E Ste 202, Puyallup, Washington |
| Authorized Official Name and Position | Phillip S Tate (OWNER) |
| Authorized Official Contact | 2534554626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip S. Tate Phd, Pllc 12303 Meridian E Ste 202 Puyallup WA 98373-3418 Ph: (253) 268-0854 | Phillip S. Tate Phd, Pllc 12303 Meridian E Ste 202 Puyallup WA 98373-3418 Ph: (253) 268-0854 |
| NPI Number | 1942018866 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Medicare PECOS PAC ID | 6709315724 |
|---|---|
| Medicare Enrollment ID | O20250121001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942018866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Phillip S Tate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023385366 PECOS PAC ID: 5991964942 Enrollment ID: I20120309000513 |
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