# BLUE MOUNTAIN NEUROPSYCHOLOGICAL ASSOCIATES, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Mountain Psychology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619401734
- **Authorized official:** DR. JAMESON C. LONTZ PH.D. (PRESIDENT & EXECUTIVE DIRECTOR)
- **Authorized official phone:** (509) 939-6863

## Contact information

- **Practice address:** 1624 W DEAN AVE, SPOKANE, WA 99201-1825
- **Practice address phone:** (509) 939-6863
- **Practice address fax:** (509) 464-6463
- **Mailing address:** 1624 W DEAN AVE, SPOKANE, WA 99201-1825
- **Mailing address phone:** (509) 939-6863
- **Mailing address fax:** (509) 464-6463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY60040765 | WA | Yes |

## Other

- **Enumeration date:** 04/14/2017
- **Last updated:** 04/14/2017