Individual
KEVIN O HEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
105 W 8TH AVE, SUITE 450E, SPOKANE, WA 99204-2302
(509) 474-6920
(509) 474-6921
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122955
—
WA
01
—
8327967
WA MEDICAID
WA
01
—
AB32999
MEDICARE GROUP
WA
Enumeration date
07/10/2006
Last updated
05/25/2021
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