Organization · Type 2 NPI

State of Idaho Department of Health and Welfare

Psychologist · Blackfoot, ID

NPI number 1609267715 Active

Practice location

700 East Alice
Blackfoot, ID 83221

Mailing address

P.o. Box 400
Blackfoot, ID 83221

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1609267715

State of Idaho Department of Health and Welfare's National Provider Identifier is 1609267715, issued on Feb 11, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Blackfoot, ID. The record was last updated on Mar 25, 2015.