NPI age
13 years
Enumerated 2012-10-11
Across 38 active psychologist providers in Idaho.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1710279807 | INDIVIDUAL - TYPE I NPI |
| 01 (ID) | 12239758 | CAQH |
Multi-provider organization. 7 individual providers on file at this primary address.
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