Provider Demographics
NPI:1407908718
Name:HAFFEY, ANDREW PAUL (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PAUL
Last Name:HAFFEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 S BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2154
Mailing Address - Country:US
Mailing Address - Phone:509-838-1414
Mailing Address - Fax:509-838-0183
Practice Address - Street 1:1424 S BERNARD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2154
Practice Address - Country:US
Practice Address - Phone:509-838-1414
Practice Address - Fax:509-838-0183
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1425103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG000304299Medicare ID - Type UnspecifiedPSYCHOLOGIST