| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 530 W Sinto, Spokane, Washington |
| Authorized Official Name and Position | Frank M. Rosekrans (OWNER) |
| Authorized Official Contact | 5093263804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
530 W Sinto Spokane WA 99201-2428 Ph: (509) 326-3804 | 530 W Sinto Spokane WA 99201-2428 Ph: (509) 326-3804 |
| NPI Number | 1528284783 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528284783 | NPI | - | NPPES |
| 0212999 | Other | WA | LABOR & INDUSTRIES |
| 7063449 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 591 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | 591 (Washington) | Primary |
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