Organization · Type 2 NPI

Idaho State University

Mental Health Clinic/Center (Including Community Mental Health Center) · Meridian, ID

NPI number 1366033094 Active

Practice location

1311 E Central Dr
Meridian, ID 83642-7991

Fax (833) 499-1813

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist 103TP0016XNone listed
Ambulatory Care Pharmacist 1835P2201XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1366033094

Idaho State University's National Provider Identifier is 1366033094, issued on Jan 26, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Meridian, ID. The record was last updated on Jul 13, 2026.