Provider Demographics
NPI:1164589933
Name:MYERS, DEE A (MS)
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:A
Last Name:MYERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N WASHINGTON ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2202
Mailing Address - Country:US
Mailing Address - Phone:509-448-5996
Mailing Address - Fax:509-325-4988
Practice Address - Street 1:910 N WASHINGTON ST
Practice Address - Street 2:SUITE 211
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2202
Practice Address - Country:US
Practice Address - Phone:509-448-5996
Practice Address - Fax:509-325-4988
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4628101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health