Alpine Ridge Psychological Services Pllc

NPI #1942090865 in Shelley, Idaho

Provider Information

NPI Number: 1942090865
Entity Type: Organization
Organization Name: Alpine Ridge Psychological Services Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 12, 2025
Last Updated: May 12, 2025

Practice Location

Address: 1464 N 805 E
City: Shelley
State: Idaho
ZIP Code: 83274-5049
Phone: (208) 728-7750

Authorized Official

Name: DR. MICHAEL ROBERT THOMAS, PHD
Title: CLINICAL PSYCHOLOGIST
Phone: (208) 728-7750

Specialties & Taxonomy Codes

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

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