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Organization

NEUROTHERAPY NORTHWEST PLLC

Active
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Organization

NEUROTHERAPY NORTHWEST PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAELYNN NOLAN (BILLING SPECIALIST)
(509) 891-5900
Entity
Organization

Contact information

Practice address
12B N UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5205
(509) 891-5900
Mailing address
12B N UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5205
(509) 891-5900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00003406
WA
101YM0800X
Mental Health Counselor
LH60387411
WA
101YM0800X
Mental Health Counselor
Primary
—
—
225100000X
Physical Therapist
PT00003756
WA

Other

Enumeration date
01/28/2014
Last updated
01/11/2024
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