| Samadhi Center, P.c. | |
|
174 E Redoubt Ave Soldotna AK 99669-8012 | |
| (907) 262-1260 | |
| (907) 262-4403 |
| Full Name | Samadhi Center, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 174 E Redoubt Ave, Soldotna, Alaska |
| Authorized Official Name and Position | Kathleen L Dinius (PRESIDENT) |
| Authorized Official Contact | 9072621260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samadhi Center, P.c. 174 E Redoubt Ave Soldotna AK 99669-8012 Ph: (907) 262-1260 | Samadhi Center, P.c. 174 E Redoubt Ave Soldotna AK 99669-8012 Ph: (907) 262-1260 |
| NPI Number | 1164522611 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769452515 |
|---|---|
| Medicare Enrollment ID | O20040728001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164522611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kathleen L Dinius |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669564068 PECOS PAC ID: 1658341409 Enrollment ID: I20040728001559 |
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