HEALTHWEST
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1154783538- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1000 N 8TH AVE, POCATELLO, ID, 832015757
- Phone
- (208) 232-6260
Specialties & Taxonomies
Psychologist, Clinical
Primary License: ID #SE-202913