NPI age
4 years
Enumerated 2022-04-02
Across 23 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | EDUID552776347 | EDUCATIONAL CERTIFICATE/ LICENSE |
| 01 (WA) | 439884H | EDUCATIONAL CERTIFICATE/ LICENSE |
| 01 | 34419 | NATIONAL CERTIFIED SCHOOL PSYCHOLOGIST |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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