Organization
NORTHWEST NEUROBEHAVIORAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE RICHELLE GUZZARDO PH.D. (PRESIDENT)
(509) 456-3600
Entity
Organization
Contact information
Practice address
1303 N DIVISION ST, SUITE A, SPOKANE, WA 99202-1930
(509) 456-3600
(509) 747-4420
Mailing address
1303 N DIVISION ST, SUITE A, SPOKANE, WA 99202-1930
(509) 456-3600
(509) 747-4420
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY00002557
WA
103TC0700X
Clinical Psychologist
PY00003323
WA
Other
Enumeration date
01/03/2007
Last updated
03/31/2015
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