Bronson Mandeville, is a
Counselor - Mental Health based in Puyallup, Washington. Bronson Mandeville is licensed to practice in * (Not Available) (license number ) and his current practice location is
325 E Pioneer, Puyallup, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 697-8408.
NPI number for Bronson Mandeville is 1730985300 and his current mailing address is 335 3rd St Ne, Auburn, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730985300.
Healthcare Provider's Profile
| Full Name | Bronson Mandeville |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 325 E Pioneer, Puyallup, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730985300
- Provider Enumeration Date: 02/24/2025
- Last Update Date: 02/24/2025
Medical Identifiers
Medical identifiers for Bronson Mandeville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730985300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bronson Mandeville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bronson Mandeville,
335 3rd St Ne,
Auburn, WA 98002-5032
Ph: (517) 974-3515 | Bronson Mandeville,
325 E Pioneer,
Puyallup, WA 98372-3265
Ph: (253) 697-8408 |
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