NPI 1053778373

Jeanna Chay Colborn, MASE

Practitioner Psychologist Chubbuck, ID

Practice location

Address: Sanctuary 4737 Afton Pl STE #a, Chubbuck, ID 83202
Phone: (208) 417-0623
Fax: (208) 417-0641

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence SE - 202928 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1053778373
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2016
Record last updated: 14 Mar 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.