NPI 1023622321

Jessica Michelle Wilson-Lucero, EDSNCSP

Practitioner School Psychologist Pocatello, ID

Practice location

Address: 395 1/2 Willard Ave, Pocatello, ID 83201-4524
Phone: (208) 240-4063

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X

Other Psychologist providers in Idaho →

Registry record

NPI: 1023622321
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2020
Record last updated: 3 Sep 2020

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.