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Organization

PSYCHIATRIC SERVICES AND MEDICATION MANAGEMENT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED M ITVELDT ARNP (ARNP)
(509) 707-8581
Entity
Organization

Contact information

Practice address
12615 E MISSION AVE STE 310, SPOKANE VALLEY, WA 99216-1047
(509) 707-8581
Mailing address
12615 E MISSION AVE STE 310, SPOKANE VALLEY, WA 99216-1047
(509) 707-8581

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60451837
WA

Other

Enumeration date
05/14/2018
Last updated
09/28/2022
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