1. Home
  2. Directory
  3. Washington
  4. Spokane
  5. Counselor
  6. NPI Profile

EDWARD DEHERRERA SUDPT
NPI 1053053934
Counselor - Addiction (Substance Use Disorder) in Spokane, WA

Active since April 11, 2022
140 S ARTHUR STREET, SUITE 400, SUITE 400, SPOKANE, WA 99202(509) 532-8855(509) 532-8844 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Deherrera Sudpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD DEHERRERA SUDPT (NPI 1053053934) is an individual addiction (substance use disorder) provider in Spokane, Washington, licensed in Washington (C061261876) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1053053934
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWARD DEHERRERACredential: SUDPT
Location Address140 S ARTHUR STREET, SUITE 400, SUITE 400Spokane, WA 99202-9920
Mailing Address140 S Arthur St Ste 400Spokane, WA 99202-2220 · (509) 532-8855 · Fax (509) 532-8844
Phone(509) 532-8855
Fax(509) 532-8844
Sole ProprietorNo
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1053053934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · C061261876
140 S ARTHUR STREET, SUITE 400, Spokane, WA 99202
Open in Google Maps ↗

Other Names 1

Other Name (5)Eddy Deherrera

Other Identifiers 1

OtherCO61261876WA · Insurance Billing

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Deherrera's NPI number?

The NPI number for Edward Deherrera is 1053053934. It was assigned to this individual provider in the NPPES registry on April 11, 2022. The provider is also known as Eddy Deherrera.

Where is Edward Deherrera located?

Edward Deherrera practices at 140 S Arthur Street, Suite 400 Suite 400, Spokane, WA 99202. The listed phone number is (509) 532-8855.

What is Edward Deherrera's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edward Deherrera was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.