Dr Nathanael Jonathan Corduan, PSYD | |
107 S Division St, Spokane, WA 99202 | |
(509) 838-4651 | |
(509) 363-2762 |
Full Name | Dr Nathanael Jonathan Corduan |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 107 S Division St, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053640466 | NPI | - | NPPES |
1053640466 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY60073433 (Washington) | Primary |
Entity Name | Frontier Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191 |
Mailing Address | Practice Location Address |
---|---|
Dr Nathanael Jonathan Corduan, PSYD 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651 | Dr Nathanael Jonathan Corduan, PSYD 107 S Division St, Spokane, WA 99202 Ph: (509) 838-4651 |
Dr. William H. Jackline, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Arthur St Ste 415, Spokane, WA 99202 Phone: 509-448-4929 Fax: 509-448-8025 | |
Dr. Rita Y Flanagan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 Phone: 509-434-7544 | |
Lisa M Koch, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 105 W 8th Ave, Suite 450e, Spokane, WA 99204 Phone: 509-474-6920 Fax: 509-227-7070 | |
Dr. John Wood Fishburne Iv, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 104 S Freya St Ste 214a, Spokane, WA 99202 Phone: 509-888-0048 Fax: 509-534-3193 | |
Dr. Lawrence Ray Weathers, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6921 E Jamieson Rd, Spokane, WA 99223 Phone: 509-448-6462 Fax: 806-209-8854 | |
Dr. Brandy Renee Henson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Spokane, WA 99205 Phone: 509-434-7000 | |
Dr. Samantha Susan-marie Chandler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 905 W Riverside Ave, Suite 208, Spokane, WA 99201 Phone: 509-747-0165 |