NPI age
19 years
Enumerated 2006-11-30
Across 38 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010028916 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | N4734 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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