| Ride Home Equine Therapy | |
|
27703 Sr 9 Arlington WA 98223-7392 | |
| (925) 864-2659 | |
| Not Available |
| Full Name | Ride Home Equine Therapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 27703 Sr 9, Arlington, Washington |
| Authorized Official Name and Position | Edward D Asbert (DIRECCCTOR) |
| Authorized Official Contact | 4255041161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ride Home Equine Therapy 12433 Admiralty Way Apt C105 Everett WA 98204-8038 Ph: (425) 504-1161 | Ride Home Equine Therapy 27703 Sr 9 Arlington WA 98223-7392 Ph: (925) 864-2659 |
| NPI Number | 1568045193 |
|---|---|
| Provider Enumeration Date | 05/02/2021 |
| Last Update Date | 05/02/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568045193 | NPI | - | NPPES |
| 604720718 | Medicaid | WA | |
| 604720718 | Other | WA | NON PROFIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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