Provider Demographics
NPI:1356739700
Name:WINSTON CENTER FOR ATTENTION, LANGUAGE AND LEARNING PS
Entity type:Organization
Organization Name:WINSTON CENTER FOR ATTENTION, LANGUAGE AND LEARNING PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:POPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-321-4510
Mailing Address - Street 1:528 E SPOKANE FALLS BLVD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-5050
Mailing Address - Country:US
Mailing Address - Phone:509-465-1252
Mailing Address - Fax:509-465-1235
Practice Address - Street 1:528 E SPOKANE FALLS BLVD STE 502
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-5082
Practice Address - Country:US
Practice Address - Phone:509-465-1252
Practice Address - Fax:509-465-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X, 235Z00000X
WAMD600913902084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty