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Organization

TELETHERAPEUTICS HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YASIR J AHMAD MD (OWNER)
(781) 373-8199
Entity
Organization

Contact information

Practice address
522 W RIVERSIDE AVE STE 4309, SPOKANE, WA 99201-0580
(509) 203-4653
Mailing address
522 W RIVERSIDE AVE STE 4309, SPOKANE, WA 99201-0580
(509) 203-4653

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE
WA
05
PENIDNG
WA
Enumeration date
06/30/2021
Last updated
05/13/2025
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