Provider Demographics
NPI:1265575088
Name:PECHOUS, ELIZABETH A (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:PECHOUS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:PECHOUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:701 W 7TH AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2843
Mailing Address - Country:US
Mailing Address - Phone:509-869-3809
Mailing Address - Fax:509-838-1163
Practice Address - Street 1:701 W 7TH AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2843
Practice Address - Country:US
Practice Address - Phone:509-869-3809
Practice Address - Fax:509-838-1163
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002566103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical