Healthcare Provider Details

I. General information

NPI: 1134509433
Provider Name (Legal Business Name): RHEANNA KALEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 S MYRTLE LN
SPOKANE WA
99223-7858
US

IV. Provider business mailing address

2411 S MYRTLE ST
SPOKANE WA
99223-5601
US

V. Phone/Fax

Practice location:
  • Phone: 509-209-0848
  • Fax:
Mailing address:
  • Phone: 509-209-0848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSYC.PY.61254140
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: