NPI age
19 years
Enumerated 2007-04-11
Across 38 active psychologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805997100 | |
| 01 (ID) | 000010138522 | REGENCE BLUESHIELD |
| 01 (ID) | 481086633 | TAX IDENTIFICATION |
| 01 (ID) | 002082395 | FIRST HEALTH |
| 01 (ID) | Q7421 | BLUE CROSS OF IDAHO |
| 01 (ID) | X5952 | BLUE CROSS |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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