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108 N Washington St Ste 408 Spokane WA 99201 | |
| (509) 220-4398 | |
| (509) 241-3864 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 108 N Washington St Ste 408, Spokane, Washington |
| Authorized Official Name and Position | Ward Robak (OWNER & CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5092204398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
108 N Washington St Ste 408 Spokane WA 99201-5001 Ph: (509) 220-4398 | 108 N Washington St Ste 408 Spokane WA 99201 Ph: (509) 220-4398 |
| NPI Number | 1033651237 |
|---|---|
| Provider Enumeration Date | 11/06/2016 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033651237 | NPI | - | NPPES |
| 2075526 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY60608652 (Washington) | Primary |
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