Individual provider · Type 1 NPI

Benjamin Walker Pennock

Psychiatry Physician · Boise, ID

NPI number 1720874555 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Psychiatry Physician Primary	2084P0800X	3071063 (ID)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1720874555

Benjamin Walker Pennock's National Provider Identifier is 1720874555, issued on Apr 17, 2025. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Boise, ID. The record was last updated on May 15, 2025.