| Dr Jennifer Somerlott, PSYD | |
|
800 W Maple St, Medical Lake, WA 99022-5139 | |
| (360) 407-5778 | |
| Not Available |
| Full Name | Dr Jennifer Somerlott |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 800 W Maple St, Medical Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821374430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY60215258 (Washington) | Primary |
| Entity Name | Department Of Social Dept Of Shs Div Of Instns |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467440602 PECOS PAC ID: 9133013725 Enrollment ID: O20040213000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Somerlott, PSYD 3525 W Brant Rd, Colbert, WA 99005-9410 Ph: () - | Dr Jennifer Somerlott, PSYD 800 W Maple St, Medical Lake, WA 99022-5139 Ph: (360) 407-5778 |
Dr. Darlene E. Walsh-martin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Christina L. Zampich, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015 | |
Dr. Patricia L. Gunderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015 | |
Lisa Mathews, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 W. Maple St., Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Gretchen L. Meader, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple St., Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 | |
Dr. Alton J Couturier, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
David W. Elkins Jr., PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705 |