DR. ALLEN DEAN BOSTWICK (NPI# 1962565184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962565184 |
| Entity Type | Individual |
| Full Name | DR. ALLEN DEAN BOSTWICK |
| Credential | PH.D. |
| Practice Address |
901 E 2nd Ave Ste 208 Spokane WA 99202-2257 |
| Practice Telephone | 5097477700 |
| Mailing Telephone | 5097477700 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY00000881 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY00000881 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 770589 | 05 |
| Street Address |
901 E 2ND AVE STE 208 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528284783 | Frank M Rosekrans IIi | Clinical Neuropsychologist | 530 W Sinto, Spokane, WA 99201-2428 | 2007-04-17 |
| 1649310061 | Duane Green | Clinical Neuropsychologist | 105 W. Eighth Ave, Suite 408, Spokane, WA 99204-2318 | 2007-02-07 |
| 1396891818 | Ronald M Klein | Clinical Neuropsychologist | 601 W Main Ave, Suite 1011, Spokane, WA 99201-0636 | 2007-01-26 |
| 1225143654 | Debra D Brown | Clinical Neuropsychologist | 522 W Riverside Ave, Suite 710, Spokane, WA 99201-0504 | 2006-08-19 |
| 1912997800 | Angelique Grayson Tindall | Clinical Neuropsychologist | 1120 N. Pines, Suite C, Spokane, WA 99206-4942 | 2005-10-24 |
| 1790773463 | Gregory J. Charboneau | Clinical Neuropsychologist | 3157 E. 17th Avenue, Spokane, WA 99223-5136 | 2005-10-07 |
| 1144212457 | Christine Richelle Guzzardo | Clinical Neuropsychologist | 421 W Riverside Ave, Suite 304, Spokane, WA 99201-0405 | 2005-08-22 |
| 1093194649 | Danielle Wald Baker | Clinical Neuropsychologist | 1303 N Division St, Suite A, Spokane, WA 99202-1930 | 2015-05-28 |
| 1508145731 | Alicia Faith Hegie | Clinical Neuropsychologist | 711 S Cowley St, Spokane, WA 99202-1388 | 2011-08-05 |
| 1922333863 | Erin Baldwin | Clinical Neuropsychologist | 400 E 5th Ave, Spokane, WA 99202-1334 | 2009-10-09 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.