Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Wood Fishburne IV, PHD

Individual provider Psychologist · NPI 1003957291

Dr. John Wood Fishburne IV, PHD is a Clinical Psychologist in Spokane, Washington. Qualified in 2003, 23 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
23
Licensed in
WA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

104 S Freya St Ste 214A
Spokane, WA 99202-6204
Phone: (509) 888-0048
Fax: (509) 534-3193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY00003685 (WA)

Record details

NPI number1003957291
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESNovember 8, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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