NPI 1114321163

Meridian Neuropsychology PLLC

Organisation Clinical Neuropsychologist Meridian, ID

Practice location

Address: 3061 S Meridian Rd STE 100, Meridian, ID 83642-7962
Phone: (208) 895-9852
Fax: (208) 629-1231
Mailing address: 3597 E Monarch Sky Ln STE 240, Meridian, ID 83646-1055

Authorised official

Name: Jason Southwick
Title: Manager
Phone: (208) 895-9852

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY-202728 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-202728 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1114321163
Entity type: Organization
NPI issued: 20 Oct 2014
Record last updated: 18 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.