| Ihb | |
|
2310 N Molter Rd Ste 105 Liberty Lake WA 99019-8621 | |
| (509) 891-7867 | |
| (509) 922-0984 |
| Full Name | Ihb |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2310 N Molter Rd Ste 105, Liberty Lake, Washington |
| Authorized Official Name and Position | Tamara Fisher Wirthlin (TREASURER/OFFICE MANAGER) |
| Authorized Official Contact | 5098917867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihb 2310 N Molter Rd Ste 105 Liberty Lake WA 99019-8621 Ph: (509) 891-7867 | Ihb 2310 N Molter Rd Ste 105 Liberty Lake WA 99019-8621 Ph: (509) 891-7867 |
| NPI Number | 1902129638 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902129638 | NPI | - | NPPES |
| 1487664603 | Other | WA | NPI FOR INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD00047831 (Washington) | Primary |
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