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4219 E Prairie Lane Ct Spokane WA 99223-6025 | |
| (504) 390-5782 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 4219 E Prairie Lane Ct, Spokane, Washington |
| Authorized Official Name and Position | Bobbi Kizer (OWNER, PSYCHOLOGIST) |
| Authorized Official Contact | 5043905782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4219 E Prairie Lane Ct Spokane WA 99223-6025 Ph: (504) 390-5782 | 4219 E Prairie Lane Ct Spokane WA 99223-6025 Ph: (504) 390-5782 |
| NPI Number | 1932617412 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932617412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 60804591 (Washington) | Primary |
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