Provider Demographics
NPI:1427272384
Name:POLLACK, DENNIS RICHARD (PHD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RICHARD
Last Name:POLLACK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 S WASHINGTON ST
Mailing Address - Street 2:SUITE 709
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-3719
Mailing Address - Country:US
Mailing Address - Phone:509-747-1456
Mailing Address - Fax:509-448-4420
Practice Address - Street 1:9 S WASHINGTON ST
Practice Address - Street 2:SUITE 709
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-3719
Practice Address - Country:US
Practice Address - Phone:509-747-1456
Practice Address - Fax:509-448-4420
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA511103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical