NPI 1184234411

Ben L Walters, EDS

Practitioner School Psychologist Idaho Falls, ID

Practice location

Address: 2871 Agnes St, Idaho Falls, ID 83402-5639
Phone: (208) 270-2716

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 563139723 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1184234411
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2020
Record last updated: 2 Aug 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.