| 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 | 1972730042 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/17/2009 |
| Medicare PECOS PAC ID | 4688729809 |
|---|---|
| Medicare Enrollment ID | O20090911000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972730042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00001983 (Washington) | Primary |
| Provider Name | David W Agnor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114971462 PECOS PAC ID: 0143133645 Enrollment ID: I20050524000201 |
| Provider Name | Stephanie C Korff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174779052 PECOS PAC ID: 8820148109 Enrollment ID: I20090608000325 |
| Provider Name | Howard Bruce Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477561173 PECOS PAC ID: 6103849435 Enrollment ID: I20170804000484 |
| Provider Name | Laura Anne Farley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386297810 PECOS PAC ID: 3577891019 Enrollment ID: I20190822000955 |
| Provider Name | Chrystal Joy Agnor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215241781 PECOS PAC ID: 0840529020 Enrollment ID: I20190913000189 |
Fletcher Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 292, Vancouver, WA 98684 Phone: 360-524-5879 Fax: 360-326-1834 | |
Daybreak Vancouver Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11818 Se Mill Plain Blvd, Suite 307, Vancouver, WA 98684 Phone: 360-750-9635 Fax: 360-334-9541 | |
Sleep Health Clinic Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2501 Ne 134th St Ste 203, Vancouver, WA 98686 Phone: -- | |
Awaken Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4602 Ne 59th Ave, Vancouver, WA 98661 Phone: 503-410-3048 | |
Vancover Treatment Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Ne 117th Street, Ste. 101, Vancouver, WA 98686 Phone: 360-566-9112 Fax: 360-566-9133 | |
Moontree Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 Main St Ste 23, Vancouver, WA 98663 Phone: 360-949-2727 | |
Dale B Mortimer Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 Ne 7th Ave, Suite 385, Vancouver, WA 98685 Phone: 360-882-9058 Fax: 360-567-0861 |