Dr Edward L Deatherage, PHD - Medicare Psychologist in Spokane, WA

Dr Edward L Deatherage, PHD is a medicare enrolled "Psychologist - Clinical" provider in Spokane, Washington. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 5814 S Thistle Ln, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (208) 651-0179.

Dr Edward L Deatherage is licensed to practice in Washington (license number PY00000714) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720141575.

Contact Information

Dr Edward L Deatherage, PHD
5814 S Thistle Ln,
Spokane, WA 99223-1702
(208) 651-0179
(208) 651-0179

Map and Direction




Healthcare Provider's Profile

Full NameDr Edward L Deatherage
GenderMale
SpecialityClinical Psychologist
Experience47 Years
Location5814 S Thistle Ln, Spokane, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edward L Deatherage graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1720141575
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 06/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1658569215
  • Enrollment ID: I20101223000146

Medical Identifiers

Medical identifiers for Dr Edward L Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720141575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY00000714 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward L Deatherage is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Edward L Deatherage, PHD
5814 S Thistle Ln,
Spokane, WA 99223-1702

Ph: (208) 651-0179
Dr Edward L Deatherage, PHD
5814 S Thistle Ln,
Spokane, WA 99223-1702

Ph: (208) 651-0179

Reviews and Comments


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