Healthcare Provider Details

I. General information

NPI: 1306841960
Provider Name (Legal Business Name): DARRELLE MORGAN VOLWILER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 N WASHINGTON ST STE 211
SPOKANE WA
99201-2260
US

IV. Provider business mailing address

15308 W BLUEGRASS RD
NINE MILE FALLS WA
99026-9604
US

V. Phone/Fax

Practice location:
  • Phone: 509-242-0806
  • Fax: 509-325-4988
Mailing address:
  • Phone: 509-464-2474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY00002404
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: