| Ridgway & Forsyth Psychology, P.s. | |
|
628 S Maple St Ste 102 Spokane WA 99204-3445 | |
| (509) 353-9885 | |
| (509) 353-9886 |
| Full Name | Ridgway & Forsyth Psychology, P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 628 S Maple St, Spokane, Washington |
| Authorized Official Name and Position | Pamela S. Ridgway (PSYCHOLOGIST) |
| Authorized Official Contact | 5093539885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgway & Forsyth Psychology, P.s. 628 S Maple St Suite 102 Spokane WA 99204-3445 Ph: (509) 353-9885 | Ridgway & Forsyth Psychology, P.s. 628 S Maple St Ste 102 Spokane WA 99204-3445 Ph: (509) 353-9885 |
| NPI Number | 1073851382 |
|---|---|
| Provider Enumeration Date | 01/21/2013 |
| Last Update Date | 12/13/2016 |
| Medicare PECOS PAC ID | 2769621499 |
|---|---|
| Medicare Enrollment ID | O20130610000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073851382 | NPI | - | NPPES |
| G8919067 | Other | WA | MEDICARE PTAN |
| G8918942 | Other | WA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2480 (Washington) | Primary |
| 103TC0700X | Psychologist - Clinical | PY1912 (Washington) | Secondary |
| Provider Name | Pamela S Ridgway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952402083 PECOS PAC ID: 1254384571 Enrollment ID: I20050228000306 |
| Provider Name | Andrew B Forsyth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477653145 PECOS PAC ID: 8628178142 Enrollment ID: I20070713000158 |
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