Tindall, Angelique Grayson

Tindall, Angelique Grayson is an sole proprietor health care provider with primary practice located at 1120 N. Pines Suite C, Spokane WA 99206-4942. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Tindall, Angelique Grayson can be contacted via phone (509) 768-4248.

Contact Information

Primary practice address
1120 N. Pines Suite C Spokane WA 99206-4942
Phone: (509) 768-4248
Fax: (509) 343-0504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY00001825 Washington
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY00001825 Washington
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PY00001825 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00001825 Washington

Profile Details

NPI number 1912997800
LBN Legal business name Tindall, Angelique Grayson
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Apr 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912997800 NPPES
Washington Other 0165817 LABOR & INDUSTRIES

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