Whalio Doctors

NPI 1669617635

Leighton Jerry Cunningham, PHD

Practitioner Clinical Psychologist Caldwell, ID

Practice location

Address
107 S Kimball Ave Suite 240, Caldwell, ID 83605-3735
Phone
(208) 454-1229
Mailing address
1824 Cleveland Blvd, Caldwell, ID 83605-5032

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-424 (ID)

Registry record

NPI
1669617635
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Dec 2008
Record last updated
4 Dec 2008

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.