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Eagle Crest Life Services
Prescribing (Medical) Psychologist in Coeur D Alene, Idaho
NPI 1659572493

Eagle Crest Life Services is a Prescribing (Medical) Psychologist based in Coeur D Alene, ID and is specialized in Prescribing (Medical). Eagle Crest Life Services practices in Coeur D Alene, ID. The NPI Number for Eagle Crest Life Services is 1659572493 and holds a License No. (Idaho).

The current practice location address for Eagle Crest Life Services is 416 E Coeur Dalene Ave, Coeur D Alene, ID and can be reached out via phone at 208-666-9162.

Location: 416 E Coeur Dalene Ave, Coeur D Alene, ID, 83816-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659572493
Provider Name
Eagle Crest Life Services
Credential
Provider Entity Type
Organization
Address
416 E Coeur Dalene Ave, Coeur D Alene, ID, 83816-2529
Phone Number
208-666-9162
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
416 E Coeur Dalene Ave
City
Coeur D Alene
State
Idaho
Zip
83814-2825
Phone Number
208-666-9162
Fax Number
person
Provider Business Mailing Address Details
Address
416 E Coeur Dalene Ave
City
Coeur D Alene
State
Idaho
Zip
83814-2825
Phone Number
208-666-9162
Fax Number
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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