NPI 1467670653

Tyler T Whitney, PSYD

Practitioner Clinical Neuropsychologist Meridian, ID

Practice location

Address: 2273 E Gala St Suite 120, Meridian, ID 83642-7289
Phone: (208) 888-7104
Fax: (208) 321-4789

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY202-131 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Registry record

NPI: 1467670653
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 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.