| Dr Shellah Myra Imperio, PH D | |
|
1415 S 3rd St, Mount Vernon, WA 98273-4905 | |
| (425) 243-4378 | |
| Not Available |
| Full Name | Dr Shellah Myra Imperio |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Counseling |
| Location | 1415 S 3rd St, Mount Vernon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952440281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY60084605 (Washington) | Primary |
| Entity Name | Tulalip Tribes Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770531501 PECOS PAC ID: 7719879782 Enrollment ID: O20160615001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shellah Myra Imperio, PH D 1415 S 3rd St, Mount Vernon, WA 98273-4905 Ph: (425) 243-4378 | Dr Shellah Myra Imperio, PH D 1415 S 3rd St, Mount Vernon, WA 98273-4905 Ph: (425) 243-4378 |
Mrs. Golda Waugh, M.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 920 S 2nd St, Mount Vernon, WA 98273 Phone: 360-428-6141 | |
Dr. Christopher Nelson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2120 E Division St, Mount Vernon, WA 98274 Phone: 360-424-4258 Fax: 360-428-5825 | |
Jennifer Benson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th St Ste 200, Mount Vernon, WA 98274 Phone: 206-277-6579 | |
Dr. Alex J. Schut, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th St, Mount Vernon, WA 98274 Phone: 360-848-8500 | |
Alison Nicole Lorenz Forbes, ARNP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1010 E College Way, Mount Vernon, WA 98273 Phone: 360-542-8920 Fax: 360-542-8930 | |
Dr. Charles Hermann Bogdahn, LCSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1419 East College Way, Mount Vernon, WA 98273 Phone: 808-688-3376 Fax: 808-961-6819 | |
Ms. Yoke Fong Lau, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 920 S 2nd St, Mount Vernon, WA 98273 Phone: 360-428-6141 Fax: 360-428-6167 |