| Jennifer Van Wey Psyd | |
|
316 W Boone Ave Ste 656 Spokane WA 99201-2346 | |
| (509) 606-3997 | |
| (509) 747-4420 |
| Full Name | Jennifer Van Wey Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 316 W Boone Ave Ste 656, Spokane, Washington |
| Authorized Official Name and Position | Jennifer Van Wey (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5096063997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Van Wey Psyd 316 W Boone Ave Ste 656 Spokane WA 99201-2346 Ph: (509) 714-6082 | Jennifer Van Wey Psyd 316 W Boone Ave Ste 656 Spokane WA 99201-2346 Ph: (509) 606-3997 |
| NPI Number | 1730760356 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 10/11/2021 |
| Certification Date | 10/11/2021 |
| Medicare PECOS PAC ID | 4587054556 |
|---|---|
| Medicare Enrollment ID | O20211206002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730760356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Van Wey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942369764 PECOS PAC ID: 1456409069 Enrollment ID: I20090507000592 |
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