Organization
DEPTH PSYCHOLOGY SERVICES, LLC
Active
Organization
DEPTH PSYCHOLOGY SERVICES, LLC
Active
Other names
Ward Robak, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARD ROBAK PHD (OWNER & CLINICAL PSYCHOLOGIST)
(509) 220-4398
Entity
Organization
Contact information
Practice address
108 N WASHINGTON ST STE 408, SPOKANE, WA 99201
(509) 220-4398
(509) 241-3864
Mailing address
108 N WASHINGTON ST STE 408, SPOKANE, WA 99201-5001
(509) 220-4398
(509) 241-3864
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY60608652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075526
—
WA
Enumeration date
11/06/2016
Last updated
08/22/2018
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