NPI 1447481643

Lucas Owen Bossard, PSYD

Practitioner Clinical Psychologist Twin Falls, ID

Practice location

Address: 794 Eastland Dr, Twin Falls, ID 83301-6856
Phone: (208) 734-1281

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-202292 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1447481643
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2009
Record last updated: 5 Aug 2009

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.