Psychology Center of Idaho Falls
NPI #1780010090 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1780010090
- Entity Type
- Organization
- Organization Name
- Psychology Center of Idaho Falls
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Sep 18, 2013
- Last Updated
- Sep 18, 2013
Practice Location
- Address
- 3670 S 25TH E STE 2
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-4956
- Phone
- (208) 522-3404
Authorized Official
- Name
- DR. CAROL VERNON ANDERSON, PH.D. ABPP-CN
- Title
- PRESIDENT, CLIICAL NEUROPSYCHOLOGIS
- Phone
- (208) 522-3404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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