-- LILLIAN BENGTSON -- SE
Individual Provider (NPI-1)
Active
Psychologist
Provider Information
- NPI Number
1225601214- Provider Type
- Individual Provider (NPI-1)
- Credentials
- SE
- Status
- Active
Contact & Location
- Address
- 500 S 11TH AVE STE 400, POCATELLO, ID, 832014880
- Phone
- (208) 232-7862
Specialties & Taxonomies
Counselor
Student in an Organized Health Care Education/Training Program
License: ID #SE203528
Psychologist
Primary License: ID #9871578