Organization · Type 2 NPI

Idaho Dept of Health & Welfare Amhcalpgreg3

Prescribing (Medical) Psychologist · Caldwell, ID

NPI number 1104004928 Active

Practice location

3402 Franklin Rd
Caldwell, ID 83605-6932

Call (208) 459-0092 Map

Fax (208) 454-7714

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

34 other providers at this address

About NPI 1104004928

Idaho Dept of Health & Welfare Amhcalpgreg3's National Provider Identifier is 1104004928, issued on Feb 4, 2008. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Caldwell, ID. The record was last updated on Jan 28, 2009.