NPI 1356435614

Ellen Louise Jaeger, PHDLP

Practitioner Psychologist Coeur D Alene, ID

Practice location

Address: 1115 Ironwood Drive, Coeur D Alene, ID 83814-4936
Phone: (208) 765-0955
Fax: (208) 765-6972

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY202116 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1356435614
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 9 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.