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Idaho Dept Of Health & Welfare Amhcalpgreg3
Prescribing (Medical) Psychologist in Caldwell, Idaho
NPI 1104004928

Idaho Dept Of Health & Welfare Amhcalpgreg3 is a Prescribing (Medical) Psychologist based in Caldwell, ID and is specialized in Prescribing (Medical). Idaho Dept Of Health & Welfare Amhcalpgreg3 practices in Caldwell, ID. The NPI Number for Idaho Dept Of Health & Welfare Amhcalpgreg3 is 1104004928 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Amhcalpgreg3 is 3402 Franklin Rd, Caldwell, ID and can be reached out via phone at 208-459-0092 and via fax at 208-454-7714.

Location: 3402 Franklin Rd, Caldwell, ID, 83605-6932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104004928
Provider Name
Idaho Dept Of Health & Welfare Amhcalpgreg3
Credential
Provider Entity Type
Organization
Address
3402 Franklin Rd, Caldwell, ID, 83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW298 01 BLUE CROSS OF IDAHO
8076191 05 ID
000010027633 01 ID BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
3402 Franklin Rd
City
Caldwell
State
Idaho
Zip
83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
person
Provider Business Mailing Address Details
Address
3402 Franklin Rd
City
Caldwell
State
Idaho
Zip
83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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