Spokane Psychiatry And Psychology, P.S.
Psychiatry & Neurology, Psychiatry in Spokane, WA. Organization (NPI-2).
NPI number1124164751
StatusActive
Last updated in NPPESJan 8, 2008
Details
- NPI
- 1124164751
- Entity type
- Organization (NPI-2)
- Legal business name
- Spokane Psychiatry And Psychology, P.S.
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Jan 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 0015023 | WA | Yes |
| 103G00000X | Clinical Neuropsychologist | 445 | WA | |
| 103T00000X | Psychologist | 445 | WA |
Practice location
105 West 8th AveSte 408
Spokane, WA 99204-2318
Phone 509-455-8660 · Fax 509-455-8662
Mailing address
105 West 8th AveSte 408
Spokane, WA 99204-2318
Phone 509-455-8660 · Fax 509-455-8662
Authorized official
James Clifford Green
President
5094558660
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