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NPI Code Detail

MEDICARE: ANNA PEASE B.A. PSYCHOLOGY

MEDICARE: ANNA PEASE B.A. PSYCHOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1376272781
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA PEASE B.A. PSYCHOLOGY
Provider Business Mailing Address
First Line : 210 W SPRAGUE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 210 W SPRAGUE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3627
Country : US
Telephone Number : 509-747-8224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 04/21/2026

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Directions to “ ANNA PEASE B.A. PSYCHOLOGY” Practice Location

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