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Contact Information

NEUROPSYCH PROGRAM PLLC
1446 SPAULDING PARK STE 303
RICHLAND, WA99352-4720
 Phone: 509-420-5060
 Fax: 509-420-5059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NEUROPSYCH PROGRAM PLLC

NPI Number 1811233414
LBN Legal business name NEUROPSYCH PROGRAM PLLC
Authorized official KISHORE VARADA - (CHAIRMAN/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2012
Last updated 12/31/2012 - About 13 years ago
Identifiers
WA License # MD 00038336
WA License # MD 00038813
WA License # PA 10005331
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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