-- PHARES L BOOK -- Psy.D,LPC
Individual Provider (NPI-1)
Active
Psychologist
Provider Information
- NPI Number
1386660678- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Psy.D,LPC
- Status
- Active
Contact & Location
- Address
- 815 FILLMORE ST, CALDWELL, ID, 836054126
- Phone
- (208) 459-6962
- Fax
- (208) 459-4476
Specialties & Taxonomies
Psychologist
Primary License: ID #202193