Whalio Doctors

NPI 1386944411

Daniel Lance Traughber, PHD

Practitioner Psychologist Chubbuck, ID

Practice location

Address
4737 Afton Place, STE a, Chubbuck, ID 83202
Phone
(208) 417-0623
Fax
(208) 417-0641
Mailing address
PO Box 2431, Pocatello, ID 83206

Registered specialties (2)

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY-202543 (ID)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X

Registry record

NPI
1386944411
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Oct 2010
Record last updated
27 Feb 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.