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JENNIFER VAN WEY PSYD PLLC

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Company Details

Legal Name: JENNIFER VAN WEY PSYD PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 7th 2021
Expiration date: 30 Apr 2026
UBI Number: 604 738 564
ZIP code: 99201
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 316 W BOONE AVE, SUITE 656, SPOKANE, WA, 99201-2346, UNITED STATES

Contact Details

E-Mail: JENNIFERVANWEY@YAHOO.COM
Phone Number: +1 509-606-3997

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JENNIFER VAN WEY Registered Agent 316 W BOONE AVE STE 656, SPOKANE, WA, 99201-2346, UNITED STATES

Key Officers & Management

Name Role Address
RYAN VAN WEY Executor 2823 S PARK LN, SPOKANE, WA, 99212-3063, UNITED STATES
RYAN VAN WEY Governing Person -

National Provider Identifier

NPI Number:
1730760356
Certification Date:
2021-10-11

Authorized Person:

Name:
JENNIFER VAN WEY
Role:
CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
5097474420

History

Type Old value New value Date of change
Name change JENNIFER VAN WEY, PSY.D., PLLC JENNIFER VAN WEY PSYD PLLC 2021-05-21
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