NPI age
19 years
Enumerated 2007-03-03
Across 235 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010145911 | RBSI PROVIDER ID |
| 01 (ID) | N4494 | BC OF IDAHO PROVIDER ID |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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