DR. ALLEN DEAN BOSTWICK


Address: 901 E 2nd Ave Ste 208, Spokane, WA 99202-2257
Phone: 5097477700

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA 770589 05

Office Location

Street Address 901 E 2ND AVE STE 208
City SPOKANE
State WA
Zip Code 99202-2257

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SPOKANE
Zip Code 99202

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Dataset Information

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.

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