NPI 1568104719

Brandon Taylor Stewart, PHD

Practitioner Clinical Neuropsychologist Boise, ID

Practice location

Address: 500 W Fort St, Boise, ID 83702-4501
Phone: (208) 422-1000
Mailing address: 2149 N Freewater Ave, Boise, ID 83713-6628

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY-203695 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY-203695 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1568104719
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2022
Record last updated: 24 Apr 2026

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.