NPI 1619420379

Greenleaf Psychology

Organisation Point of Service Spokane, WA

Practice location

Address: 3157 E 17th Ave, Spokane, WA 99223-5136
Phone: (509) 838-8066
Fax: (800) 594-8305

Authorised official

Name: Gregory Charboneau
Title: Licensed Neuropsychologist
Phone: (509) 838-8066

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence PY00002046 (WA)

Other Point of Service providers in Washington →

Registry record

NPI: 1619420379
Entity type: Organization
NPI issued: 29 Jul 2016
Record last updated: 29 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.