Healthcare Provider Details

I. General information

NPI: 1396068664
Provider Name (Legal Business Name): HEATHER JEANNETTE MARSHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER JEANNETTTE KNORR

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S ASSEMBLY RD STE 300
SPOKANE WA
99224-2116
US

IV. Provider business mailing address

1700 S ASSEMBLY RD STE 300
SPOKANE WA
99224-2116
US

V. Phone/Fax

Practice location:
  • Phone: 98-929-2415
  • Fax: 509-892-9251
Mailing address:
  • Phone: 98-929-2415
  • Fax: 509-892-9251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: