| Evergreen Telepsychiatry Pllc | |
|
11335 Ne 122nd Way Ste 105 Kirkland WA 98034-6933 | |
| (206) 451-7150 | |
| Not Available |
| Full Name | Evergreen Telepsychiatry Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 11335 Ne 122nd Way Ste 105, Kirkland, Washington |
| Authorized Official Name and Position | Joseph Michael Ungvarsky (FOUNDER/PMHNP-BC) |
| Authorized Official Contact | 5704173318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Telepsychiatry Pllc 11335 Ne 122nd Way Ste 105 Kirkland WA 98034-6933 Ph: (206) 451-7150 | Evergreen Telepsychiatry Pllc 11335 Ne 122nd Way Ste 105 Kirkland WA 98034-6933 Ph: (206) 451-7150 |
| NPI Number | 1205593449 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205593449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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