The Ida Karlin Pediatric Center is a Counselor Clinic in Puyallup, Washington. It is located at 319 5th St Sw, Puyallup, WA and its contact number is 253-848-0351. The authorized person for The Ida Karlin Pediatric Center is Ovidio Penalver
who is Corporate Officer, Provider of the clinic and his/her contact number is 253-848-0351. The primary license number for The Ida Karlin Pediatric Center is MD00015660 (Pediatrics) in Washington. The Ida Karlin Pediatric Center Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
The Ida Karlin Pediatric Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
The Ida Karlin Pediatric Center
Specialization:
Counselor
Clinic Address:
319 5th St Sw, Puyallup, Washington, 98371-5828
Phone:
253-848-0351
Fax:
253-841-1397
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ovidio Penalver
Position:
Corporate Officer, Provider
Contact Number:
253-848-0351
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for The Ida Karlin Pediatric Center clinic are as mentioned below.
NPI Number:
1366657918
NPI Enumeration Date:
14 May, 2007
NPI Last Update On:
23 Dec, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Ida Karlin Pediatric Center are as mentioned below.
Specialization
License Number
State
Status
Pediatrics
MD00015660
Washington
Primary
Counselor
LH60394287
Washington
Secondary
Psychologist
PY60385056
Washington
Secondary
Pediatrics
AP60312846
Washington
Secondary
Psych/Mental Health
AP60311598
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7110653
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
The Ida Karlin Pediatric Center 319 5th St Sw, Puyallup, Washington
Zip:
98371-5828
Phone Number:
253-848-0351
Fax Number:
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Patients can reach The Ida Karlin Pediatric Center at 319 5th St Sw, Puyallup, Washington or can call to book an appointment on 253-848-0351. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.