| Kristi Ketz, Ph.d., P.s. | |
|
421 W Riverside Ave Ste 310 Spokane WA 99201-2458 | |
| (509) 747-1440 | |
| (509) 747-4420 |
| Full Name | Kristi Ketz, Ph.d., P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 421 W Riverside Ave Ste 310, Spokane, Washington |
| Authorized Official Name and Position | Frances K. Ketz (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5097471440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Ketz, Ph.d., P.s. 421 W Riverside Ave Ste 310 Spokane WA 99201-2458 Ph: (509) 747-1440 | Kristi Ketz, Ph.d., P.s. 421 W Riverside Ave Ste 310 Spokane WA 99201-2458 Ph: (509) 747-1440 |
| NPI Number | 1316952161 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316952161 | NPI | - | NPPES |
| 7122336 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 2852 (Washington) | Primary |
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