NPI age
14 years
Enumerated 2011-09-23
Across 235 active psychologist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 80839860 | |
| 01 (CO) | 024134 | KAISER COMMERCIAL NUMBER |
Part of a multi-provider practice. 127 other active providers share this practice address in NPPES.
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