| Washington State University | |
|
305 Ne Troy Mall Pullman WA 99164 | |
| (509) 335-3587 | |
| (509) 335-1030 |
| Full Name | Washington State University |
|---|---|
| Speciality | Psychologist |
| Location | 305 Ne Troy Mall, Pullman, Washington |
| Authorized Official Name and Position | Dianne Phillips-miller (PSYCHOLOGY CLINIC DIRECTORY) |
| Authorized Official Contact | 5093353587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington State University Po Box 644820 Pullman WA 99164-4820 Ph: (509) 335-3587 | Washington State University 305 Ne Troy Mall Pullman WA 99164 Ph: (509) 335-3587 |
| NPI Number | 1861866535 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861866535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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