Centennial Pediatrics of Spokane, PLLC
Centennial Pediatrics of Spokane, PLLC is a Clinical Child & Adolescent Psychologist in Spokane, Washington. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3010 S Southeast Blvd Ste ASpokane, WA 99223-3540
Phone: (509) 352-3777
Fax: (509) 343-3717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1346964806 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Kalisvaart — Owner · (562) 277-0834 |
| NPI enumerated | September 28, 2022 |
| Last updated in NPPES | July 21, 2023 |
| Certification date | July 21, 2023 |
| Mailing address | 3010 S Southeast Blvd Ste A, Spokane, WA 99223-3540 |
Other providers in Spokane
-
Dr. Beth R Fitterer, PHD
2527 E 27th Ave Ste C205, Spokane, WA 99223-4909 · (509) 535-0656
-
John G Kiernan, PSYCH
322 W North River Dr, Spokane, WA 99201-3208 · (509) 241-2575