NPI age
20 years
Enumerated 2005-09-09
Across 196 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | N4478 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010015963 | BLUESHIELD OF IDAHO |
| 05 (ID) | 806177700 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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