| Melanie Whetstine Phd Llc | |
|
254 E Main St Suite 226 Pullman WA 99163-2678 | |
| (509) 330-5456 | |
| (509) 561-6229 |
| Full Name | Melanie Whetstine Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 254 E Main St, Pullman, Washington |
| Authorized Official Name and Position | Melanie L Whetstine (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5093305456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Whetstine Phd Llc 254 E Main St Suite 226 Pullman WA 99163-2678 Ph: (509) 330-5456 | Melanie Whetstine Phd Llc 254 E Main St Suite 226 Pullman WA 99163-2678 Ph: (509) 330-5456 |
| NPI Number | 1154785665 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Medicare PECOS PAC ID | 0345539292 |
|---|---|
| Medicare Enrollment ID | O20160516001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154785665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY60484398 (Washington) | Primary |
| Provider Name | Melanie Lynn Whetstine-richel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891182945 PECOS PAC ID: 3779804711 Enrollment ID: I20150603000893 |
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