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400 S Jefferson St Ste 163 Spokane WA 99204-3143 | |
| (509) 456-5733 | |
| (509) 327-5191 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 S Jefferson St Ste 163, Spokane, Washington |
| Authorized Official Name and Position | Denise Daymont (CEO) |
| Authorized Official Contact | 5098693266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 S Jefferson St Ste 163 Spokane WA 99204-3143 Ph: (509) 456-5733 | 400 S Jefferson St Ste 163 Spokane WA 99204-3143 Ph: (509) 456-5733 |
| NPI Number | 1053545343 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053545343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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