Provider Demographics
NPI:1003030917
Name:THURBER, MYRON ROSS (PHD, PT, LMHC)
Entity Type:Individual
Prefix:DR
First Name:MYRON
Middle Name:ROSS
Last Name:THURBER
Suffix:
Gender:M
Credentials:PHD, PT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1120 N PINES RD
Mailing Address - Street 2:STE C
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4942
Mailing Address - Country:US
Mailing Address - Phone:509-891-5900
Mailing Address - Fax:509-232-6646
Practice Address - Street 1:1120 N PINES RD
Practice Address - Street 2:STE C
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4942
Practice Address - Country:US
Practice Address - Phone:509-891-5900
Practice Address - Fax:509-232-6646
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003406101YM0800X
WAPT00003756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist