NPI 1568766566

Northwest Neurobehavioral Health, LLC

Organisation Clinical Neuropsychologist Meridian, ID

Practice location

Address: 2950 E Magic View Dr STE 140, Meridian, ID 83642-9273
Phone: (208) 323-9130
Fax: (208) 323-9070

Authorised official

Name: Jeremy Evans
Title: Billing Supervisor
Phone: (208) 323-9130

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY-202444 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Registry record

NPI: 1568766566
Entity type: Organization
NPI issued: 5 Jan 2011
Record last updated: 5 Jan 2011

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.