Northwest Neurobehavioral Health Pllc

NPI #1518102797 in Boise, Idaho

Provider Information

NPI Number: 1518102797
Entity Type: Organization
Organization Name: Northwest Neurobehavioral Health Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 2, 2008
Last Updated: Dec 2, 2008

Practice Location

Address: 6003 OVERLAND RD STE 301
City: Boise
State: Idaho
ZIP Code: 83709-3077
Phone: (208) 672-8699

Authorized Official

Name: DR. TREVOR ALLEN HALL, PSYD
Title: PRESIDENT
Phone: (208) 672-8699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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