NPI age
19 years
Enumerated 2006-06-28
Across 34 active clinical neuropsychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 00001001591 | REGENCE BLUE SHIELD |
| 01 | 1598959322 | GROUP NPI |
| 01 (ID) | N2399 | BLUE CROSS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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