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State Of Idaho
Psychologist in Blackfoot, Idaho
NPI 1053615260

State Of Idaho is a Psychologist based in Blackfoot, ID. State Of Idaho practices in Blackfoot, ID. The NPI Number for State Of Idaho is 1053615260 and holds a License No. 17 (Idaho).

The current practice location address for State Of Idaho is 700 E Alice St, Blackfoot, ID and can be reached out via phone at 208-785-8506 and via fax at 208-785-8518. You can also correspond with State Of Idaho through the mailing address at 700 E ALICE ST, BLACKFOOT, ID - 83221-4925 (mailing address contact number: 208-785-8506).

Location: 700 E Alice St, Blackfoot, ID, 83221-4925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053615260
Provider Name
State Of Idaho
Credential
Provider Entity Type
Organization
Address
700 E Alice St, Blackfoot, ID, 83221-4925
Phone Number
208-785-8506
Fax Number
208-785-8518
Provider Enumeration Date
01/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00844 01 ID BLUE CROSS
1992789101 05 ID
20315 01 ID REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
700 E Alice St
City
Blackfoot
State
Idaho
Zip
83221-4925
Phone Number
208-785-8506
Fax Number
208-785-8518
person
Provider Business Mailing Address Details
Address
700 E Alice St
City
Blackfoot
State
Idaho
Zip
83221-4925
Phone Number
208-785-8506
Fax Number
208-785-8518
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
17 (Idaho)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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