| Blue Mountain Psychology | |
|
1624 W Dean Ave Spokane WA 99201-1825 | |
| (509) 939-6863 | |
| (509) 464-6463 |
| Full Name | Blue Mountain Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 1624 W Dean Ave, Spokane, Washington |
| Authorized Official Name and Position | Jameson C. Lontz (PRESIDENT & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5099396863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Psychology 1624 W Dean Ave Spokane WA 99201-1825 Ph: (509) 939-6863 | Blue Mountain Psychology 1624 W Dean Ave Spokane WA 99201-1825 Ph: (509) 939-6863 |
| NPI Number | 1619401734 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Medicare PECOS PAC ID | 4486922689 |
|---|---|
| Medicare Enrollment ID | O20170612002323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619401734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY60040765 (Washington) | Primary |
| Provider Name | Jameson C Lontz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295970333 PECOS PAC ID: 4082885868 Enrollment ID: I20110928000186 |
| Provider Name | Karen Kristine Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225329105 PECOS PAC ID: 3678918794 Enrollment ID: I20240228004023 |
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