NPI 1104174366

Allison Clark Joe

Practitioner Psychologist Chubbuck, ID

Practice location

Address: 4650 Hawthorne Rd STE 3b, Chubbuck, ID 83202-2376
Phone: (208) 237-9833
Fax: (208) 237-1800

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence SE-202663 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1104174366
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2012
Record last updated: 20 Aug 2012

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.