NPI 1780010090

Psychology Center of Idaho Falls

Organisation Clinical Neuropsychologist Idaho Falls, ID

Practice location

Address: 3670 S 25th E STE 2, Idaho Falls, ID 83404-4956
Phone: (208) 522-3404
Fax: (208) 524-1093

Authorised official

Name: Carol Vernon Anderson
Title: President, Cliical Neuropsychologis
Phone: (208) 522-3404

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 202288 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Registry record

NPI: 1780010090
Entity type: Organization
NPI issued: 18 Sep 2013
Record last updated: 18 Sep 2013

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.