Provider Demographics
NPI:1205068087
Name:KLEMAN, VIRGINIA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:M
Last Name:KLEMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:MAE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1403 S GRAND BLVD STE 203N
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2200
Mailing Address - Country:US
Mailing Address - Phone:509-779-8065
Mailing Address - Fax:844-779-0338
Practice Address - Street 1:1403 S GRAND BLVD STE 203N
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2200
Practice Address - Country:US
Practice Address - Phone:509-779-8065
Practice Address - Fax:844-779-0338
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60562243103G00000X
NE855103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist