Individual
NANCY L. WORSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
EAST 502 BOONE AVE, GONZAGA UNIVERSITY PSYCHOLOGY DEPARTMENT, SPOKANE, WA 99258-0056
(509) 323-6773
Mailing address
203 W 15TH AVE, SPOKANE, WA 99203-2105
(509) 570-3511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2374
WA
103TC2200X
Clinical Child & Adolescent Psychologist
2374
WA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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