Individual provider · Type 1 NPI
Kelly Petrino, PSY.D
Clinical Psychologist · Boise, ID
Practice location
3350 W Americana Ter Ste 210
Boise, ID 83706-2546
Mailing address
3883 S Como Ave
Meridian, ID 83642-1446
Other practice locations
- 334 E Broadway St, Missoula, MT 59802-4618 · (406) 880-5568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 18071 (MT) |
| Psychologist | 103T00000X | 505 (WY) |
| Clinical Psychologist Primary | 103TC0700X | 203518 (ID) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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- Mark E. Snow, PhDClinical Psychologist Boise, ID NPI 1023162682
- Michaela Shields, PSYDClinical Psychologist Boise, ID NPI 1053033282
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About NPI 1861784068
Kelly Petrino, PSY.D's National Provider Identifier is 1861784068, issued on May 5, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Boise, ID. The record was last updated on May 11, 2022.