Provider Demographics
NPI:1811735293
Name:MYERS, TODD ALLEN
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:ALLEN
Last Name:MYERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 E SPRAGUE AVE
Mailing Address - Street 2:E.
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1508
Mailing Address - Country:US
Mailing Address - Phone:509-838-4651
Mailing Address - Fax:509-685-0642
Practice Address - Street 1:504 E SPRAGUE AVE
Practice Address - Street 2:E.
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1508
Practice Address - Country:US
Practice Address - Phone:509-838-4651
Practice Address - Fax:509-685-0642
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor