NPI 1053556258
Melinda L Jorgensen, PHD
Practice location
- Address
- 3417 Merlin Dr STE 102, Idaho Falls, ID 83404-7430
- Phone
- (208) 552-0850
- Fax
- (208) 529-5011
- Mailing address
- PO Box 4285, Pocatello, ID 83205-4285
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1053556258
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Dec 2008
- Record last updated
- 15 Dec 2010
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.