Healthcare Provider Details

I. General information

NPI: 1366367450
Provider Name (Legal Business Name): ED AND BEATRIZ SCHWEITZER AUTISM CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 NE HOPKINS CT
PULLMAN WA
99163-5600
US

IV. Provider business mailing address

2350 NE HOPKINS CT
PULLMAN WA
99163-5600
US

V. Phone/Fax

Practice location:
  • Phone: 509-334-8094
  • Fax:
Mailing address:
  • Phone: 509-334-8094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH RALSTON
Title or Position: CLINICAL DIRECTOR
Credential: SLP
Phone: 509-334-8094