MRS. Mykel Gaylene Rochester, BA PSYCHOLOGY

NPI #1205692530 in Boise, Idaho

Provider Information

NPI Number
1205692530
Entity Type
Individual
Name
MRS. Mykel Gaylene Rochester, BA PSYCHOLOGY
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
BA PSYCHOLOGY
Enumeration Date
Feb 23, 2024
Last Updated
Feb 23, 2024

Practice Location

Address
5403 W SITES DR
City
Boise
State
Idaho
ZIP Code
83705-2660
Phone
(208) 713-7261

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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