State of Idaho Department of Health and Welfare

NPI #1609267715 in Blackfoot, Idaho

Provider Information

NPI Number: 1609267715
Entity Type: Organization
Organization Name: State of Idaho Department of Health and Welfare
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF IDAHO DEPARTMENT OF HEALTH AND WEL
Primary Specialty: Psychologist
Enumeration Date: Feb 11, 2015
Last Updated: Mar 25, 2015

Practice Location

Address: 700 EAST ALICE
City: Blackfoot
State: Idaho
ZIP Code: 83221
Phone: (208) 785-8462

Authorized Official

Name: MS. LYNN D SHIELDS
Title: PATIENT ACCOUNT SPEC
Phone: (208) 785-8462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Beth Waddel, PH.D.	Psychologist	Moscow	AI Deep Dive
MRS. Delia Medlin, PH.D.	Psychologist	Lewiston	AI Deep Dive
DR. Kevin Richard Kracke, PH.D.	Psychologist	Lewiston	AI Deep Dive
James A Tyson, PHD	Psychologist	Twin Falls	AI Deep Dive

Organizations

Provider Name	Specialty	City
State of Idaho Part of State Hospital South	Psychologist	Blackfoot	AI Deep Dive

Want to research this healthcare provider further?