DR. Michael Gene Idiart JR., PH.D.
NPI #1902267008 in Chowchilla, California
Provider Information
- NPI Number
- 1902267008
- Entity Type
- Individual
- Name
- DR. Michael Gene Idiart JR., PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Mar 16, 2016
- Last Updated
- Jan 12, 2024
Practice Location
- Address
- 23370 ROAD 22
- City
- Chowchilla
- State
- California
- ZIP Code
- 93610-8504
- Phone
- (559) 655-5531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Forensic — Forensic |
| Psychologist - Clinical — Clinical |
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