Provider Demographics
NPI:1124093497
Name:HASTINGS, PAUL B (PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:B
Last Name:HASTINGS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16704 N DARTFORD DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9771
Mailing Address - Country:US
Mailing Address - Phone:509-993-5463
Mailing Address - Fax:509-228-9542
Practice Address - Street 1:502 E BOONE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99258-1774
Practice Address - Country:US
Practice Address - Phone:509-465-9847
Practice Address - Fax:509-228-9542
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00000887103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical