institution
Coralyn J Alexander Md Pa
Adolescent and Children Mental Health Clinic/Center in Twin Falls, Idaho
NPI 1922282821

Coralyn J Alexander Md Pa is an Adolescent and Children Mental Health Clinic/Center based in Twin Falls, ID and is specialized in Adolescent and Children Mental Health. Coralyn J Alexander Md Pa practices in Twin Falls, ID. The NPI Number for Coralyn J Alexander Md Pa is 1922282821 and holds a License No. NP662 (Idaho).

The current practice location address for Coralyn J Alexander Md Pa is 488 Blue Lakes Blvd N, Twin Falls, ID and can be reached out via phone at 208-734-3900 and via fax at 208-734-9441. You can also correspond with Coralyn J Alexander Md Pa through the mailing address at PO BOX 2103, TWIN FALLS, ID - 83303-2103 (mailing address contact number: 208-734-3900).

Location: 488 Blue Lakes Blvd N, Twin Falls, ID, 83303-2103
institution
Provider Profile Details
NPI Number
1922282821
Provider Name
Coralyn J Alexander Md Pa
Credential
Provider Entity Type
Organization
Address
488 Blue Lakes Blvd N, Twin Falls, ID, 83303-2103
Phone Number
208-734-3900
Fax Number
208-734-9441
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
804052700 05 ID
institution
Provider Business Practice Location Address Details
Address
488 Blue Lakes Blvd N
City
State
Zip
83301-4800
Phone Number
208-734-3900
Fax Number
208-734-9441
person
Provider Business Mailing Address Details
Address
Po Box 2103
City
State
Zip
83303-2103
Phone Number
208-734-3900
Fax Number
208-734-9441
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
M6940 (Idaho)
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
License No.
NP662 (Idaho)
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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