Dean Carpenter, BS, IS, BIS

NPI #1235824467 in Lewiston, Idaho

Provider Information

NPI Number: 1235824467
Entity Type: Individual
Name: Dean Carpenter, BS, IS, BIS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: BS, IS, BIS
Enumeration Date: Apr 5, 2023
Last Updated: Apr 5, 2023

Practice Location

Address: 4039 CARPENTER LN
City: Lewiston
State: Idaho
ZIP Code: 83501-5227
Phone: (208) 790-4491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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