Joseph S. Vizzard, Ph.d., P.s, | |
8311 212th St Sw Edmonds WA 98026-7443 | |
(425) 771-8011 | |
(425) 771-8009 |
Full Name | Joseph S. Vizzard, Ph.d., P.s, |
---|---|
Speciality | Psychologist |
Location | 8311 212th St Sw, Edmonds, Washington |
Authorized Official Name and Position | Joseh Stephen Vizzard (.PRESIDENT/PSYCHOLOGIST) |
Authorized Official Contact | 4257718011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joseph S. Vizzard, Ph.d., P.s, 8311 212th St Sw Edmonds WA 98026-7443 Ph: (425) 771-8011 | Joseph S. Vizzard, Ph.d., P.s, 8311 212th St Sw Edmonds WA 98026-7443 Ph: (425) 771-8011 |
NPI Number | 1053511360 |
---|---|
Provider Enumeration Date | 07/24/2007 |
Last Update Date | 04/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053511360 | NPI | - | NPPES |
VI9735 | Other | WA | REGENCE INSURANCE |
7115884 | Medicaid | WA | |
37852 | Other | WA | DEPARTMENT OF LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY0001307 (Washington) | Primary |
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