Organization
MAHANAIM PSYCHOLOGY SERVICES, PLLC
Active
Organization
MAHANAIM PSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE G BROST PSYD (PRESIDENT OF CORPORATION/PROVIDER)
(509) 276-5644
Entity
Organization
Contact information
Practice address
110 W CRAWFORD ST STE F, DEER PARK, WA 99006-5356
(509) 276-5644
(509) 780-4394
Mailing address
PO BOX 2110, DEER PARK, WA 99006-2110
(509) 276-5644
(509) 276-5644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
11/19/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up