Organization
BLUE MOUNTAIN NEUROPSYCHOLOGICAL ASSOCIATES
Active
Organization
BLUE MOUNTAIN NEUROPSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMESON LONTZ PHD (OWNER)
(509) 939-0719
Entity
Organization
Contact information
Practice address
1624 W DEAN AVE, SPOKANE, WA 99201-1825
(509) 939-0719
(509) 464-6463
Mailing address
1624 W DEAN AVE, SPOKANE, WA 99201-1825
(509) 939-0719
(509) 464-6463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60040765
WA
Other
Enumeration date
02/12/2015
Last updated
01/26/2016
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