| Senior Connections | |
|
9340 Ne 76th St Vancouver WA 98662-3721 | |
| (360) 253-4912 | |
| (360) 253-5170 |
| Full Name | Senior Connections |
|---|---|
| Speciality | Psychologist |
| Location | 9340 Ne 76th St, Vancouver, Washington |
| Authorized Official Name and Position | David W Agnor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3602534912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Connections 9340 Ne 76th St Vancouver WA 98662-3721 Ph: (360) 253-4912 | Senior Connections 9340 Ne 76th St Vancouver WA 98662-3721 Ph: (360) 253-4912 |
| NPI Number | 1740417740 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Medicare PECOS PAC ID | 9133266703 |
|---|---|
| Medicare Enrollment ID | O20091030000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740417740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00001983 (Washington) | Primary |
| Provider Name | Anthony L Delbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437105244 PECOS PAC ID: 7416922935 Enrollment ID: I20040830000033 |
| Provider Name | Theodore G Sneed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790862001 PECOS PAC ID: 0648378182 Enrollment ID: I20160803002248 |
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