| Redwood Coaching And Consulting Llc | |
|
603 Hemlock St Ste 2e Brookings OR 97415-9429 | |
| (541) 469-4347 | |
| Not Available |
| Full Name | Redwood Coaching And Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 603 Hemlock St Ste 2e, Brookings, Oregon |
| Authorized Official Name and Position | Annamaria Anthony (PSYCHOLOGIST) |
| Authorized Official Contact | 5414694347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Coaching And Consulting Llc Po Box 1500, Pmb 226 Brookings OR 97415-7152 Ph: (541) 469-4347 | Redwood Coaching And Consulting Llc 603 Hemlock St Ste 2e Brookings OR 97415-9429 Ph: (541) 469-4347 |
| NPI Number | 1811465172 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 4385983550 |
|---|---|
| Medicare Enrollment ID | O20190305003326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811465172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Annamaria Anthony |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1568692739 PECOS PAC ID: 6507886694 Enrollment ID: I20190305003411 |
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