NPI age
20 years
Enumerated 2006-01-17
Across 235 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | N5152 | BLUE CROSS |
| 01 (ID) | 0086224 | BLUE SHIELD |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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