Mary B Dewalt, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60175550 Issued in WA

Practice address

906 W 2ND Ave
Ste. 600
Spokane, WA 99201-4538

Phone

(509) 458-5889

Fax

(509) 624-1216

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Molly Dewalt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1811291917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 E 43RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236140",
            "telephone_number": "509-458-5889",
            "fax_number": "509-624-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 2ND AVE",
            "address_2": "STE. 600",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014538",
            "telephone_number": "509-458-5889",
            "fax_number": "509-624-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALT",
        "first_name": "MARY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60175550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DEWALT",
            "prefix": "MRS.",
            "credential": "M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katrina Elizabeth Devries, LMP
• Nichole Devries, ARNP
• Sean Joel Devries, SUDPT
• Lynejia Devroe
• Laura Darlene Dewald, DO
• Todd Dewees, LCPO
• Bobbi Dewey, SUDP
• Bryan S Dewey, DO
• Lindsey Anne Dewey, LMP
• Dawn E Dewitt Talbot, MD, MACP, FRACP

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.