Le Ann Marie Egan

NPI #1457908360 in Mountain Home Afb, Idaho

Provider Information

NPI Number: 1457908360
Entity Type: Individual
Name: Le Ann Marie Egan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Aug 26, 2019
Last Updated: Mar 4, 2020

Practice Location

Address: 90 HOPE DR BLDG 6000
City: Mountain Home Afb
State: Idaho
ZIP Code: 83648-1062
Phone: (352) 690-8936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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