Organization
LEAPSS AND BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWYN W ORTIZ-NANCE PSYD (CLINICALAND NEUROPSYCHOLOGIST)
(559) 824-8934
Entity
Organization
Contact information
Practice address
413 LINCOLN AVE STE A, MUKILTEO, WA 98275-1524
(559) 314-4696
Mailing address
413 LINCOLN AVE STE A, MUKILTEO, WA 98275-1524
(559) 314-4696
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY60221926
WA
103T00000X
Psychologist
Primary
PS60221926
WA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY60221926
WA
103TP2701X
Group Psychotherapy Psychologist
PY60221926
WA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us