Individual provider · Type 1 NPI

Kathleen McCann Deidrick, PhD

Clinical Psychologist · Boise, ID

NPI number 1891742540 Active

Practice location

100 E Idaho St, Ste 200
Boise, ID 83712-6267

Call (208) 381-5000 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X2003023860 (MO)
Clinical Psychologist Primary 103TC0700XPSY202777 (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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About NPI 1891742540

Kathleen McCann Deidrick, PhD's National Provider Identifier is 1891742540, issued on May 28, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Boise, ID. The record was last updated on Feb 21, 2014.