Organization · Type 2 NPI

Little Angels

Child & Adolescent Psychiatry Physician · Idaho Falls, ID

NPI number 1336408632 Active

Practice location

1680 Woodruff Park
Idaho Falls, ID 83401-3330

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XM-9188 (ID)
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed
Physician Assistant 363A00000XPA-334 (ID)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

4 other providers at this address

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About NPI 1336408632

Little Angels's National Provider Identifier is 1336408632, issued on May 8, 2012. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 1, 2013.