Doctor Name: | DR. MYRON ROSS THURBER |
NPI Number: | 1003030917 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., PT, LMHC |
License Number: | LH00003406 |
Business Practice Address: | 1120 N Pines Rd Ste C Spokane Valley, WA - 992064942 |
Business Phone Number: | 5098915900 |
Business Fax Number: | 5092326646 |
Mailing Address: | 1120 N Pines Rd, Ste C SPOKANE VALLEY |
State: | WA |
Postal Code: | 992064942 |
Phone Number: | 5098915900 |
Fax Number: | 5092326646 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00003406 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |