Healthcare Provider Details

I. General information

NPI: 1396891818
Provider Name (Legal Business Name): RONALD M KLEIN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W MAIN AVE SUITE 1011
SPOKANE WA
99201-0636
US

IV. Provider business mailing address

601 W MAIN AVE SUITE 1011
SPOKANE WA
99201-0636
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-1285
  • Fax: 509-344-1011
Mailing address:
  • Phone: 509-838-1285
  • Fax: 509-344-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY 636
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License NumberPSY 636
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: