EDWARD L DEATHERAGE

SPOKANE, WA
NPI1720141575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WA  PY00000714)
Enumeration Date2006-12-19
Last Update Date2016-06-21
Business Address
Dr. EDWARD L DEATHERAGE Ph.D.
5814 S THISTLE LN
SPOKANE, WA 99223-1702
Phone number: 208-651-0179
Mailing Address
Dr. EDWARD L DEATHERAGE Ph.D.
5814 S THISTLE LN
SPOKANE, WA 99223-1702
Phone number: 208-651-0179
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