NPI age
19 years
Enumerated 2007-01-22
Across 34 active clinical neuropsychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | N2779 | BLUE CROSS |
| 01 (ID) | 00001001591 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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