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528 E Spokane Falls Blvd Ste 502 Spokane WA 99202-5082 | |
| (509) 465-1252 | |
| (509) 465-1235 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 528 E Spokane Falls Blvd Ste 502, Spokane, Washington |
| Authorized Official Name and Position | Wendy Joy Popa (CEO) |
| Authorized Official Contact | 5093214510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
528 E Spokane Falls Blvd Suite 502 Spokane WA 99202-5050 Ph: (509) 465-1252 | 528 E Spokane Falls Blvd Ste 502 Spokane WA 99202-5082 Ph: (509) 465-1252 |
| NPI Number | 1356739700 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356739700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD60091390 (Washington) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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