Healthcare Provider Details

I. General information

NPI: 1780992669
Provider Name (Legal Business Name): NATALIE KRENZ PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 12/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W RIVERSIDE AVE STE 208
SPOKANE WA
99201-1099
US

IV. Provider business mailing address

905 W RIVERSIDE AVE STE 208
SPOKANE WA
99201-1099
US

V. Phone/Fax

Practice location:
  • Phone: 509-747-0165
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY 8158
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60182923
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1953
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: