Joel Bocanegra, PHD

NPI #1245706274 in Pocatello, Idaho

Provider Information

NPI Number: 1245706274
Entity Type: Individual
Name: Joel Bocanegra, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Oct 17, 2018
Last Updated: Jan 27, 2024

Practice Location

Address: 357 W CENTER ST STE 3
City: Pocatello
State: Idaho
ZIP Code: 83204-3236
Phone: (208) 244-0081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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