| Vmc Washington Neuroscience Institute-psych | |
|
3915 Talbot Rd S Ste 104 Renton WA 98055-5738 | |
| (425) 656-5566 | |
| (425) 656-5567 |
| Full Name | Vmc Washington Neuroscience Institute-psych |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3915 Talbot Rd S, Renton, Washington |
| Authorized Official Name and Position | Jeannine Grinnell (VICE PRESIDENT, FINANCE) |
| Authorized Official Contact | 4252283440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vmc Washington Neuroscience Institute-psych Po Box 34876 Seattle WA 98124-1876 Ph: (425) 656-5412 | Vmc Washington Neuroscience Institute-psych 3915 Talbot Rd S Ste 104 Renton WA 98055-5738 Ph: (425) 656-5566 |
| NPI Number | 1427384411 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427384411 | NPI | - | NPPES |
| 7136310 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | H-155 (Washington) | Primary |
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