STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE

Psychologist

Active Organization
NPI: 1609267715

Practice Address

700 EAST ALICE
Blackfoot, ID 83221

Phone: (208) 785-8462

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X No -
Psychologist 103T00000X Yes -

Frequently Asked Questions

NPI 1609267715 is the National Provider Identifier for STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE, a Psychologist provider located in Blackfoot, ID. This NPI was enumerated on February 11, 2015.

Quick Facts

NPI
1609267715
Type
Organization
Enumerated
Feb 11, 2015
Last Updated
Mar 25, 2015

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