| Neurotherapy Northwest Pllc | |
|
12b N University Rd Spokane Valley WA 99206-5205 | |
| (509) 891-5900 | |
| Not Available |
| Full Name | Neurotherapy Northwest Pllc |
|---|---|
| Speciality | Counselor |
| Location | 12b N University Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Shaelynn Nolan (BILLING SPECIALIST) |
| Authorized Official Contact | 5098915900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotherapy Northwest Pllc 12b N University Rd Spokane Valley WA 99206-5205 Ph: (509) 891-5900 | Neurotherapy Northwest Pllc 12b N University Rd Spokane Valley WA 99206-5205 Ph: (509) 891-5900 |
| NPI Number | 1306269378 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/07/2024 |
| Medicare PECOS PAC ID | 0345685566 |
|---|---|
| Medicare Enrollment ID | O20240228000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306269378 | NPI | - | NPPES |
| Provider Name | Stephanie Diane Thoet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194330688 PECOS PAC ID: 5890130017 Enrollment ID: I20240307003861 |
| Provider Name | Mark M Elmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790055671 PECOS PAC ID: 7517302730 Enrollment ID: I20240309000776 |
| Provider Name | Landon Toth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396516993 PECOS PAC ID: 7719324193 Enrollment ID: I20240320003591 |
| Provider Name | Myron Ross Thurber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003030917 PECOS PAC ID: 4981049103 Enrollment ID: I20240418001166 |
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