| |
711 S Cowley St Spokane WA 99202-1330 | |
(509) 473-6000 | |
Not Available |
Full Name | |
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Speciality | Psychologist |
Location | 711 S Cowley St, Spokane, Washington |
Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
Authorized Official Contact | 4253589786 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 31001-4110 Pasadena CA 91110-4110 Ph: (509) 473-6000 | 711 S Cowley St Spokane WA 99202-1330 Ph: (509) 473-6000 |
NPI Number | 1902497308 |
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Provider Enumeration Date | 01/28/2021 |
Last Update Date | 01/10/2025 |
Certification Date | 01/02/2025 |
Medicare PECOS PAC ID | 9739236555 |
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Medicare Enrollment ID | O20210503001878 |
Identifier | Type | State | Issuer |
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1902497308 | NPI | - | NPPES |
Provider Name | Joy R White Martinez |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881685683 PECOS PAC ID: 2668374489 Enrollment ID: I20040122000899 |
Provider Name | Alicia F Hegie |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508145731 PECOS PAC ID: 3779716519 Enrollment ID: I20170711003502 |
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