NPI age
18 years
Enumerated 2007-06-05
Across 235 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ND) | BEN28274 | BCBS OF ND |
| 05 (ND) | 14194 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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