Provider Demographics
NPI:1790211076
Name:TOEWS, JAY MAURICE
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:MAURICE
Last Name:TOEWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 S PIERCE RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5670
Mailing Address - Country:US
Mailing Address - Phone:509-990-9880
Mailing Address - Fax:
Practice Address - Street 1:2515 S PIERCE RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5670
Practice Address - Country:US
Practice Address - Phone:509-990-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0000506103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist