NPI 1275891194

David E. Nilsson, PH.D., P.C.

Organisation Clinical Neuropsychologist Boise, ID

Practice location

Address: 950 W Bannock St STE 1100, Boise, ID 83702-6140
Phone: (208) 947-5368
Fax: (888) 328-9210

Authorised official

Name: Cindy Nilsson
Title: Clinic Director
Phone: (208) 947-5368

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY-230 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Registry record

NPI: 1275891194
Entity type: Organization
NPI issued: 28 Apr 2012
Record last updated: 28 Apr 2012

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.