Boise Family Psychology, Pllc

NPI #1538210927 in Boise, Idaho

Provider Information

NPI Number: 1538210927
Entity Type: Organization
Organization Name: Boise Family Psychology, Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 13177 W PERSIMMON LN STE 102
City: Boise
State: Idaho
ZIP Code: 83713-1986
Phone: (208) 938-1236

Authorized Official

Name: ROGER OLSON
Title: PSYCHOLOGIST
Phone: (208) 938-1236

Specialties & Taxonomy Codes

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

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