Healthcare Provider Details

I. General information

NPI: 1811052632
Provider Name (Legal Business Name): INLAND PSYCHIATRY & PSYCHOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 W 2ND AVE SUITE 600
SPOKANE WA
99201-4538
US

IV. Provider business mailing address

906 W 2ND AVE SUITE 600
SPOKANE WA
99201-4538
US

V. Phone/Fax

Practice location:
  • Phone: 509-458-5889
  • Fax: 509-624-1216
Mailing address:
  • Phone: 509-458-5889
  • Fax: 509-624-1216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00006082
License Number StateWA

VIII. Authorized Official

Name: JANICE K. SIMCHUK
Title or Position: OFFICE MANAGER
Credential: MS
Phone: 509-458-5889