| Inland Center For Autism & Related Disorders, P.l.l.c. | |
|
701 W 7th Ave Suite 130 Spokane WA 99204-2843 | |
| (509) 869-3809 | |
| (509) 838-1163 |
| Full Name | Inland Center For Autism & Related Disorders, P.l.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 701 W 7th Ave, Spokane, Washington |
| Authorized Official Name and Position | Elizabeth A Pechous (COFOUNDER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5098693809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Center For Autism & Related Disorders, P.l.l.c. 701 W 7th Ave Suite 130 Spokane WA 99204-2843 Ph: (509) 869-3809 | Inland Center For Autism & Related Disorders, P.l.l.c. 701 W 7th Ave Suite 130 Spokane WA 99204-2843 Ph: (509) 869-3809 |
| NPI Number | 1073655940 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/12/2017 |
| Medicare PECOS PAC ID | 9436325982 |
|---|---|
| Medicare Enrollment ID | O20120104000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073655940 | NPI | - | NPPES |
| 2077792 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00002566 (Washington) | Primary |
| 235Z00000X | Speech-language Pathologist | LL00004374 (Washington) | Secondary |
| Provider Name | Elizabeth A Pechous |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265575088 PECOS PAC ID: 7517133069 Enrollment ID: I20120104000507 |
| Provider Name | Marie R Pechous |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497898225 PECOS PAC ID: 8426224973 Enrollment ID: I20120104000512 |
| Provider Name | Elizabeth Deviveiros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861799470 PECOS PAC ID: 3779926977 Enrollment ID: I20240205002339 |
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