Melinda L Jorgensen, PHD
NPI #1053556258 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1053556258
- Entity Type
- Individual
- Name
- Melinda L Jorgensen, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Dec 3, 2008
- Last Updated
- Dec 15, 2010
Practice Location
- Address
- 3417 MERLIN DR
- Address 2
- STE 102
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7430
- Phone
- (208) 552-0850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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