Whalio Doctors

NPI 1316241417

Jeff Alan Sordahl, PSYD

Practitioner Clinical Neuropsychologist Meridian, ID

Practice location

Address
2463 E Gala St STE 100, Meridian, ID 83642-5210
Phone
(208) 955-7333
Fax
(208) 955-7330
Mailing address
444 W Fort St Fl 2, Boise, ID 83702-4535

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY202763 (ID)

Registry record

NPI
1316241417
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jan 2011
Record last updated
27 Sep 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.