Healthcare Provider Details

I. General information

NPI: 1356739700
Provider Name (Legal Business Name): WINSTON CENTER FOR ATTENTION, LANGUAGE AND LEARNING PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 E SPOKANE FALLS BLVD STE 502
SPOKANE WA
99202-5082
US

IV. Provider business mailing address

528 E SPOKANE FALLS BLVD SUITE 502
SPOKANE WA
99202-5050
US

V. Phone/Fax

Practice location:
  • Phone: 509-465-1252
  • Fax: 509-465-1235
Mailing address:
  • Phone: 509-465-1252
  • Fax: 509-465-1235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD60091390
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: WENDY JOY POPA
Title or Position: CEO
Credential:
Phone: 509-321-4510