DR. Jason Donald Gage, PH.D.

NPI #1548250699 in Boise, Idaho

Provider Information

NPI Number: 1548250699
Entity Type: Individual
Name: DR. Jason Donald Gage, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Oct 28, 2005
Last Updated: Jan 31, 2008

Practice Location

Address: 311 ALLUMBAUGH ST
City: Boise
State: Idaho
ZIP Code: 83704-9208
Phone: (208) 375-6402

Specialties & Taxonomy Codes

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

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