| Sparrow Psychology, Pllc | |
|
8641 236th Ave Ne Redmond WA 98053-1977 | |
| (510) 593-5424 | |
| Not Available |
| Full Name | Sparrow Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8641 236th Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Joanne K Sparrow (SOLE OWNER) |
| Authorized Official Contact | 5105935424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparrow Psychology, Pllc 8641 236th Ave Ne Redmond WA 98053-1977 Ph: (510) 593-5424 | Sparrow Psychology, Pllc 8641 236th Ave Ne Redmond WA 98053-1977 Ph: (510) 593-5424 |
| NPI Number | 1003513904 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 4880069673 |
|---|---|
| Medicare Enrollment ID | O20230410000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003513904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joanne Kathrina Sparrow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366897837 PECOS PAC ID: 4688095433 Enrollment ID: I20200602002703 |
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