Provider Demographics
NPI:1417519513
Name:ALTSHULER, SANDRA J (LICSW, MSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:J
Last Name:ALTSHULER
Suffix:
Gender:F
Credentials:LICSW, MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 S SOUTHEAST BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-3540
Mailing Address - Country:US
Mailing Address - Phone:509-625-3600
Mailing Address - Fax:509-625-3647
Practice Address - Street 1:6002 N LIDGERWOOD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-1124
Practice Address - Country:US
Practice Address - Phone:509-482-4402
Practice Address - Fax:509-482-5071
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW-000070321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical