| NPI Details | |
|---|---|
| NPI | 1114105194 |
| Gender | Female |
| Enumeration Date | 02/01/2008 |
| Last Updated | 05/29/2012 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 750 W USTICK RD SUITE 120 MERIDIAN ID, 83646-6133, US |
|
| Phone | (208) 366-1601 |
| Fax | (208) 366-1602 |
| Business Location | |
|---|---|
| 750 W USTICK RD SUITE 120 MERIDIAN ID, 83646-6133, US |
|
| Phone | (208) 366-1601 |
| Fax | (208) 366-1602 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YP2500X |
| License State | Idaho |
| License Number | LCPC-4492 |
| Remove 1114105194 NPI Number | |
According to our database, Caitlin A Parker-weiser M.A., LCPC, NCC NPI is 1114105194, taxonomy code is 101YP2500X and license number is LCPC-4492, license state is located at Idaho. Caitlin A Parker-weiser M.A., LCPC, NCC physically located at 750 W Ustick Rd, Meridian ID, 83646-6133. NPI Number Caitlin A Parker-weiser M.A., LCPC, NCC has the Individual type.
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1114105194 NPI number is provided on an as is basis without warranty of any kind. 1114105194 is maintained by the National Plan & Provider Enumeration System. The contents of Caitlin A Parker-weiser M.A., LCPC, NCC are for informational purposes only.
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