GREENLEAF PSYCHOLOGY NPI 1619420379

NPI Information

GREENLEAF PSYCHOLOGY is a point of service in Spokane, WA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. GREENLEAF PSYCHOLOGY NPI is 1619420379. The provider is registered as an organization entity type.

The provider's business location address is:

3157 E 17TH AVE
SPOKANE, WA
ZIP 99223-136
Phone: (509) 838-8066
Fax: (800) 594-8305

The provider's authorized official is Gregory Charboneau .
The authorized official title is Licensed Neuropsychologist and has the following contact phone number (509) 838-8066.

The enumeration date for this NPI number is 7/29/2016 and was last updated on 7/29/2016.

Taxonomy Codes

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Other Identifiers

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