Jessica Bierhaus

Individual provider Active NPI School Psychologist · Duvall, WA

NPI 1811240286 · NPPES record last updated Oct 22, 2012

Key facts

NPI
1811240286
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
15510 1St Ave. NE
Duvall, WA 98019-0519
Phone
(425) 844-4516
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X WA Yes

Addresses

Primary practice location

15510 1St Ave. NE
Duvall, WA 98019-0519

Mailing address

PO Box 519
Duvall, WA 98019-0519

Other providers in Duvall, WA

All providers in Duvall, WA · School Psychologist in Washington

Sources for this page

Verify at the official NPI Registry.