Neider Counseling PA
NPI #1508056318 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1508056318
- Entity Type
- Organization
- Organization Name
- Neider Counseling PA
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 27, 2007
- Last Updated
- Jun 22, 2009
Practice Location
- Address
- 1522 ELK CREEK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8322
- Phone
- (208) 552-0920
Authorized Official
- Name
- DONEVAN NEIDER, LCSW
- Title
- OWNER
- Phone
- (208) 552-0920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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