Dwayne A Kidwell in Spokane - Mental Health
Dwayne A Kidwell - NPI 1962555037
Dwayne A Kidwell is a Mental Health in Spokane, Washington. Dwayne A Kidwell practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Dwayne A Kidwell is 1962555037. The last update date is 2018-06-07.
Dwayne A Kidwell's current location address is 107 S Division St, Spokane, Washington. You can contact this provider via phone number 5098384651 and fax number 5093632762. The mailing address for Dwayne A Kidwell is 107 S Division St, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne A Kidwell |
|---|---|
| Address | 107 S Division St, Spokane, Washington |
| Phone Number | 5098384651 |
| Fax Number | 5093632762 |
| Sole Proprietor | Y |
| Credentials | MA LMHC |
NPI Number Detail
| NPI Number | 1962555037 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2018-06-07 |
Provider Mailing Address Detail
| Address | 107 S Division St |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992021510 |
| Phone Number | 5098384651 |
| Fax Number | 5093632762 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LH00010810 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1962555037 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dwayne A Kidwell by the Centers for Medicare & Medicaid Services?
The Dwayne A Kidwell has been assigned the NPI (National Provider Identifier) 1962555037. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dwayne A Kidwell?
The Dwayne A Kidwell is physically situated at 107 S Division St, in the city of Spokane, state of WA, with the postal code 992021510.
What is Dwayne A Kidwell's area of expertise and its corresponding taxonomy classification?
The Dwayne A Kidwell's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1962555037 to Dwayne A Kidwell?
The Dwayne A Kidwell received its 1962555037 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Dwayne A Kidwell most recently updated or revised?
The information pertaining to Dwayne A Kidwell, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-07.
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