| Suasor Mentis, Pllc | |
|
362 S 3rd Ave Walla Walla WA 99362-3037 | |
| (509) 301-6384 | |
| (509) 529-0795 |
| Full Name | Suasor Mentis, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 362 S 3rd Ave, Walla Walla, Washington |
| Authorized Official Name and Position | Robert Arnold Johnson (OWNER) |
| Authorized Official Contact | 5093016384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suasor Mentis, Pllc Po Box 340 Walla Walla WA 99362-0009 Ph: (509) 301-6384 | Suasor Mentis, Pllc 362 S 3rd Ave Walla Walla WA 99362-3037 Ph: (509) 301-6384 |
| NPI Number | 1861688392 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861688392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD00021214 (Washington) | Primary |
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