NPI age
19 years
Enumerated 2006-10-05
Across 196 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | N0567 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010015973 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | N4700 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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