Organization
RIDGWAY & FORSYTH PSYCHOLOGY, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA S. RIDGWAY PH.D. (PSYCHOLOGIST)
(509) 353-9885
Entity
Organization
Contact information
Practice address
628 S MAPLE ST, STE 102, SPOKANE, WA 99204-3445
(509) 353-9885
(509) 353-9886
Mailing address
628 S MAPLE ST, SUITE 102, SPOKANE, WA 99204-3445
(509) 353-9885
(509) 353-9886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY1912
WA
103TC0700X
Clinical Psychologist
Primary
PY2480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8918942
MEDICARE PTAN
WA
01
—
G8919067
MEDICARE PTAN
WA
Enumeration date
01/21/2013
Last updated
12/13/2016
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