Agate Passage Psychological Services, Inc. Ps

LBN: Agate Passage Psychological Services, Inc. Ps
Agate Passage Psychological Services, Inc. Ps is an health care organization with primary practice located at 785 Ericksen Ave Ne Suite 117, Bainbridge Island WA 98110-1875. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Agate Passage Psychological Services, Inc. Ps can be contacted via phone (206) 842-9949, or through Ivey, Suzanne Bachman via phone (206) 842-9949.

Contact Information

Primary practice address
785 Ericksen Ave Ne Suite 117 Bainbridge Island WA 98110-1875
Phone: (206) 842-9949
Fax: (360) 697-1079
Website:
Map and Directions
Authorized official contact:
Name: Ivey, Suzanne Bachman PH.D.
Phone: (206) 842-9949

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY00001604 Washington

Profile Details

NPI number 1760522627
LBN Legal business name Agate Passage Psychological Services, Inc. Ps
DBA Doing business as
Authorized official Ivey, Suzanne Bachman PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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