npidexNPI registry + Medicare data

ANGELA IZMIRIAN, PH.D.

Counseling Psychologist · VANCOUVER, WA

Individual Active Opted out of Medicare NPI 1407365604

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Counseling Psychologist103TC1900X✓2876OR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2019-02-14 through 2027-02-14.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.