STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Organization (NPI-2)
Active
Psychologist
Provider Information
- NPI Number
1609267715- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 700 EAST ALICE, BLACKFOOT, ID, 83221
- Phone
- (208) 785-8462
Specialties & Taxonomies
Psychologist, Clinical
Psychologist
Primary