| Caldera Psychotherapy Pllc | |
|
522 W Riverside Ave Ste N Spokane WA 99201-0580 | |
| (360) 800-9510 | |
| Not Available |
| Full Name | Caldera Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 522 W Riverside Ave Ste N, Spokane, Washington |
| Authorized Official Name and Position | Susan Poznyansky (OWNER/ PROVIDER) |
| Authorized Official Contact | 3608009510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldera Psychotherapy Pllc Po Box 1002 Hoodsport WA 98548-1002 Ph: (360) 800-9510 | Caldera Psychotherapy Pllc 522 W Riverside Ave Ste N Spokane WA 99201-0580 Ph: (360) 800-9510 |
| NPI Number | 1245982453 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/22/2022 |
| Certification Date | 01/22/2022 |
| Medicare PECOS PAC ID | 4981098514 |
|---|---|
| Medicare Enrollment ID | O20220225000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245982453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Poznyansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205257045 PECOS PAC ID: 8426448663 Enrollment ID: I20211202001888 |
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