NPI age
19 years
Enumerated 2006-10-27
Across 38 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8352437 | |
| 01 (WA) | 620005856 | RAIL ROAD MEDICARE |
| 01 | 191730 | INTERNAL ID-MOTOR VEHICLE ID |
Solo or small practice. No other active providers share this practice address in NPPES.
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