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Meridian Neuropsychology Pllc

NPI #1114321163 in Meridian, Idaho

Provider Information

NPI Number
1114321163
Entity Type
Organization
Organization Name
Meridian Neuropsychology Pllc
Primary Specialty
Clinical Neuropsychologist
Enumeration Date
Oct 20, 2014
Last Updated
May 18, 2024

Practice Location

Address
3061 S MERIDIAN RD
Address 2
STE 100
City
Meridian
State
Idaho
ZIP Code
83642-7962
Phone
(208) 895-9852

Authorized Official

Name
DR. JASON SOUTHWICK, PHD
Title
MANAGER
Phone
(208) 895-9852

Specialties & Taxonomy Codes

Specialty
Psychologist - Clinical — Clinical
Clinical Neuropsychologist

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