Doctor Name: | MRS. TINA DIANE MYERS |
NPI Number: | 1174840532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 112 W Montgomery Ave Apt 1 Spokane, WA - 992054838 |
Business Phone Number: | 5093250628 |
Business Fax Number: | 5093250628 |
Mailing Address: | 4108 E 11th Ave, SPOKANE |
State: | WA |
Postal Code: | 992025325 |
Phone Number: | 5092175752 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 03/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |