Provider Demographics
NPI:1114100856
Name:WEHDE, HEIDI ANNA
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:ANNA
Last Name:WEHDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2253
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99210-2253
Mailing Address - Country:US
Mailing Address - Phone:509-270-8177
Mailing Address - Fax:
Practice Address - Street 1:1212 W SHARP AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2600
Practice Address - Country:US
Practice Address - Phone:509-270-8177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health