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Brannon & Brannon Psychological Services Pa
Adolescent and Children Mental Health Clinic/Center in Rexburg, Idaho
NPI 1023141116

Brannon & Brannon Psychological Services Pa is an Adolescent and Children Mental Health Clinic/Center based in Rexburg, ID and is specialized in Adolescent and Children Mental Health. Brannon & Brannon Psychological Services Pa practices in Rexburg, ID. The NPI Number for Brannon & Brannon Psychological Services Pa is 1023141116 and holds a License No. (Idaho).

The current practice location address for Brannon & Brannon Psychological Services Pa is 534 Trejo Street, Rexburg, ID and can be reached out via phone at 208-356-3776 and via fax at 208-356-9498.

Location: 534 Trejo Street, Rexburg, ID, 83440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023141116
Provider Name
Brannon & Brannon Psychological Services Pa
Credential
Provider Entity Type
Organization
Address
534 Trejo Street, Rexburg, ID, 83440
Phone Number
208-356-3776
Fax Number
208-356-9498
Provider Enumeration Date
03/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002803600 05 ID
institution
Provider Business Practice Location Address Details
Address
534 Trejo Street
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-356-3776
Fax Number
208-356-9498
person
Provider Business Mailing Address Details
Address
534 Trejo Street
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-356-3776
Fax Number
208-356-9498
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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