NPI 1225176498

Craig W. Beaver, PHD

Practitioner Clinical Neuropsychologist Boise, ID

Practice location

Address: 250 Bobwhite CT STE 220, Boise, ID 83706-3983
Phone: (208) 336-2972
Fax: (208) 336-4408

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY-173 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Registry record

NPI: 1225176498
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2007
Record last updated: 8 Jul 2007

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.