NPI 1053566109

Russell Andrew McCann

Practitioner Clinical Psychologist Boise, ID

Practice location

Address: 444 W Fort St Fl 2, Boise, ID 83702-4535
Phone: (208) 422-1018

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY60317242 (WA)

Other Psychologist providers in Idaho →

Registry record

NPI: 1053566109
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2008
Record last updated: 30 Aug 2023

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.