NPI 1750257184
Idaho Neuropsychology, PLLC
Practice location
- Address
- 1305 S Five Mile Rd, Boise, ID 83709-1306
- Phone
- (208) 789-0910
- Fax
- (208) 789-0916
- Mailing address
- 10400 W Overland Rd # 357, Boise, ID 83709-1433
Authorised official
- Name
- Joseph S Black
- Title
- Owner/Ceo
- Phone
- (208) 207-8331
Registered specialties (4)
Clinical Neuropsychologist
Primary
Adult Development & Aging Psychologist
Cognitive & Behavioral Psychologist
Clinical Psychologist
Registry record
- NPI
- 1750257184
- Entity type
- Organization
- NPI issued
- 13 Oct 2025
- Record last updated
- 13 Oct 2025
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.