Provider Demographics
NPI:1679391361
Name:DANIEL PRATT PSYCHOLOGY PLLC
Entity type:Organization
Organization Name:DANIEL PRATT PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:253-375-8775
Mailing Address - Street 1:522 W RIVERSIDE AVE STE 4608
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0580
Mailing Address - Country:US
Mailing Address - Phone:253-375-8775
Mailing Address - Fax:253-201-6070
Practice Address - Street 1:3142 N BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-3412
Practice Address - Country:US
Practice Address - Phone:253-375-8775
Practice Address - Fax:253-201-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty