Geromedical Psychological Service Ps

LBN: Geromedical Psychological Service Ps
Geromedical Psychological Service Ps is an health care organization with primary practice located at 2400 Main St , Vancouver WA 98660-2663. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Geromedical Psychological Service Ps can be contacted via phone (360) 574-9565, or through Scovel, Derick A via phone (360) 574-9565.

Contact Information

Primary practice address
2400 Main St Vancouver WA 98660-2663
Phone: (360) 574-9565
Fax: (360) 574-9685
Website:
Map and Directions
Authorized official contact:
Name: Scovel, Derick A PHD
Phone: (360) 574-9565

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY2484 Washington

Profile Details

NPI number 1659482925
LBN Legal business name Geromedical Psychological Service Ps
DBA Doing business as
Authorized official Scovel, Derick A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 17th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659482925 NPPES
Washington MEDICAID 7127087
Washington Other DD6273

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