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Amanda Jack
Psychologist in Meridian, Idaho
NPI 1386371235

Amanda Jack is a Psychologist based in Kuna, ID. Amanda Jack practices in Meridian, ID. The NPI Number for Amanda Jack is 1386371235 and holds a License No. (Idaho).

The current practice location address for Amanda Jack is 2463 E Gala St, Meridian, ID and can be reached out via phone at 208-955-7333. You can also correspond with Amanda Jack through the mailing address at 2067 W HEDGEROW ST, KUNA, ID - 83634-3195 (mailing address contact number: 801-473-5406).

Location: 2463 E Gala St, Meridian, ID, 83634-3195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386371235
Provider Name
Amanda Jack
Credential
Provider Entity Type
Individual
Gender
Female
Address
2463 E Gala St, Meridian, ID, 83634-3195
Phone Number
208-955-7333
Fax Number
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2463 E Gala St
City
Meridian
State
Idaho
Zip
83642-5209
Phone Number
208-955-7333
Fax Number
person
Provider Business Mailing Address Details
Address
2463 E Gala St
City
Meridian
State
Idaho
Zip
83642-5209
Phone Number
208-955-7333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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