| Neuroeducation Inc Pc | |
|
W 905 Riverside Ste 208 Spokane WA 99201 | |
| (509) 747-0165 | |
| (509) 747-8016 |
| Full Name | Neuroeducation Inc Pc |
|---|---|
| Speciality | Psychologist |
| Location | W 905 Riverside, Spokane, Washington |
| Authorized Official Name and Position | Pat Sharp (CLINIC DIRECTOR) |
| Authorized Official Contact | 5097470165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroeducation Inc Pc W 905 Riverside Ste 208 Spokane WA 99201 Ph: (509) 747-0165 | Neuroeducation Inc Pc W 905 Riverside Ste 208 Spokane WA 99201 Ph: (509) 747-0165 |
| NPI Number | 1982694923 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 06/17/2019 |
| Medicare PECOS PAC ID | 9436152501 |
|---|---|
| Medicare Enrollment ID | O20060809000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982694923 | NPI | - | NPPES |
| Provider Name | Jon Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609809557 PECOS PAC ID: 6507856325 Enrollment ID: I20040514000101 |
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