| Lilac City Neuropsychology Pllc | |
|
1403 S Grand Blvd Ste 203n Spokane WA 99203-2200 | |
| (509) 779-8065 | |
| (844) 779-0338 |
| Full Name | Lilac City Neuropsychology Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1403 S Grand Blvd Ste 203n, Spokane, Washington |
| Authorized Official Name and Position | Virginia M. Kleman (OWNER) |
| Authorized Official Contact | 5097798065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilac City Neuropsychology Pllc 1403 S Grand Blvd Ste 203n Spokane WA 99203-2200 Ph: (509) 779-8065 | Lilac City Neuropsychology Pllc 1403 S Grand Blvd Ste 203n Spokane WA 99203-2200 Ph: (509) 779-8065 |
| NPI Number | 1639933641 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 4880030295 |
|---|---|
| Medicare Enrollment ID | O20240307003189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639933641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Virginia M. Kleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205068087 PECOS PAC ID: 9931320447 Enrollment ID: I20240307003248 |
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