Jason Southwick, PH.D.

NPI #1538412382 in Boise, Idaho

Provider Information

NPI Number: 1538412382
Entity Type: Individual
Name: Jason Southwick, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Clinical Neuropsychologist
Credential: PH.D.
Enumeration Date: Oct 17, 2012
Last Updated: May 18, 2024

Practice Location

Address: 1055 N CURTIS RD
City: Boise
State: Idaho
ZIP Code: 83706-1309
Phone: (208) 367-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X

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