Individual provider · Type 1 NPI
Bora Bisimwa
Health Service Psychologist · Caldwell, ID
NPI number
1730035403
Active
Practice location
12667 Goff St
Caldwell, ID 83607-5845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | CFH-10146 (ID) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1730035403
Bora Bisimwa's National Provider Identifier is 1730035403, issued on Mar 5, 2026. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Caldwell, ID. The record was last updated on Mar 5, 2026.