Most Relevant Information
Provider Data
| NPI Number: | 1003039025 |
| Provider Name: | WILLIAM H. JACKLINE ED.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 2469 |
Most Important Dates
| Enumeration Date: | 04/10/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
140 S ARTHUR ST STE 415
SPOKANE
WA
992022220
Practice Location Phone/Fax
| Phone: | 5094484929 |
| Fax: | 5094488025 |
Provider Mailing Location
1712 E ESTATES RD
SPOKANE
WA
992248256
Provider Mailing Phone/Fax
| Phone: | 5094484929 |
| Fax: | 5094488025 |