Sally Mccollum, PHD

NPI #1609984210 in Ketchum, Idaho

Provider Information

NPI Number: 1609984210
Entity Type: Individual
Name: Sally Mccollum, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Aug 25, 2006
Last Updated: Jan 14, 2015

Practice Location

Address: 171 W. 1ST ST #1
City: Ketchum
State: Idaho
ZIP Code: 83340-6078
Phone: (208) 726-8926

Specialties & Taxonomy Codes

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

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