| Robert P. Devries P.s. Inc | |
|
1610 Grover St. C-5 Lynden WA 98264-1539 | |
| (360) 354-1234 | |
| (360) 354-7752 |
| Full Name | Robert P. Devries P.s. Inc |
|---|---|
| Speciality | Counselor |
| Location | 1610 Grover St. C-5, Lynden, Washington |
| Authorized Official Name and Position | Robert Phillip Devries (OWNER) |
| Authorized Official Contact | 3603541234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert P. Devries P.s. Inc 1610 Grover St. C-5 Lynden WA 98264-1539 Ph: (360) 354-1234 | Robert P. Devries P.s. Inc 1610 Grover St. C-5 Lynden WA 98264-1539 Ph: (360) 354-1234 |
| NPI Number | 1205139045 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 12/17/2010 |
| Medicare PECOS PAC ID | 6002096385 |
|---|---|
| Medicare Enrollment ID | O20110203000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205139045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robert P Devries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255404323 PECOS PAC ID: 1153501002 Enrollment ID: I20110209000545 |
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