Edward L Deatherage (NPI# 1720141575, PAC ID# 1658569215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1720141575 |
| PAC ID by PECOS | 1658569215 |
| Professional Enrollment ID | I20101223000146 |
| Full Name | Edward L Deatherage |
| Address |
5814 S Thistle Ln Spokane WA 99223-1702 |
| Phone Number | 5094489561 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5814 S Thistle Ln, Spokane, WA 99223-1702 | 5094489561 |
| Street Address |
5814 S THISTLE LN |
| City | SPOKANE |
| State | WA |
| Zip | 99223-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Shute | Qualified Speech Language Pathologist | 2611 E Moran Vista, Spokane, WA 99223-2101 | |
| Katie S Christensen | Nurse Practitioner | Columbia Medical Associates LLC | 3010 S Southeast Blvd A, Spokane, WA 99223-3540 |
| Blondel C Assonken | Physical Therapy | Larry Ham and Associates Physical Therapy Ps | 3151 E 29th Ave, Spokane, WA 99223-4800 |
| Randall Volk | Emergency Medicine | Providence Health and Services Washington | 2923 E 29th Ave, Spokane, WA 99223-4811 |
| Mary F Bergum | Family Medicine | 3154 E 29th Ave, Spokane, WA 99223-4852 | |
| Rachae L Bell | Chiropractic | Cr Clearview LLC | 2503 E 27th Ave, Spokane, WA 99223-4908 |
| Meg M Estes | Physical Therapy | Physical Therapy Associates Ps | 2507 E 27th Ave, Spokane, WA 99223-4908 |
| Stephanie G Ota | Physical Therapy | Physical Therapy Associates Ps | 2507 E 27th Ave, Spokane, WA 99223-4908 |
| Jeffery G Fenton | Physical Therapy | Physical Therapy Associates Ps | 2507 E 27th Ave, Spokane, WA 99223-4908 |
| Craig M Henneberry | Physical Therapy | Physical Therapy Associates Ps | 2507 E 27th Ave, Spokane, WA 99223-4908 |
| Find all physicians in zip 99223 | |||
| City | SPOKANE |
| Zip Code | 99223 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SPOKANE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Edward L Deatherage.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.