NPI age
19 years
Enumerated 2006-09-27
Across 196 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010147148 | REGENCE BLUESHIELD |
| 05 (WA) | 041256289 | |
| 01 (ID) | 550867358 | GENERAL INSURANCE NUMBER |
| 01 (ID) | Y0929 | IDAHO BLUE CROSS |
| 05 (ID) | 806984800 |
Solo or small practice. No other active providers share this practice address in NPPES.
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