Kerry T Bartlett, PH.D.
Individual provider Active NPI Clinical Psychologist · Bellingham, WA
NPI 1962576579 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962576579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY00001414 (WA)
- Practice address
- 1200 Birchwood Ave
Bellingham, WA 98225-1302 - Phone
- (360) 734-9295
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00001414 | WA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00001414 | WA | Yes |
Addresses
Primary practice location
1200 Birchwood Ave
Bellingham, WA 98225-1302
Mailing address
9340 NE 76TH St
Vancouver, WA 98662-3721
Phone (360) 253-4912
Other providers in Bellingham, WA
- Andrea Bartel
- Melissa Ann Bartel
- Casey L Barten
- Nicholas C Barth
- Alex G. Bartl
- Micah Bartlett
- Eren Bartsch
- Rebecca Bartsch
- Kiley John Garritt Barz
- Nasheba Barzey
All providers in Bellingham, WA · Clinical Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.