Idaho Dept Of Health & Welfare Amhcalpgreg3

NPI 1104004928 - Psychologist - 103TP0016X

NPI Details
NPI 1104004928
Enumeration Date 02/04/2008
Last Updated 01/28/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TODD L TODD
Position FIELD OPERATIONS MANAGER
Phone (208) 459-0092
Fax (208) 454-7714
Practice Location
3402 FRANKLIN RD
CALDWELL ID, 83605-6932, US
Phone (208) 459-0092
Fax (208) 454-7714
Business Location
3402 FRANKLIN RD
CALDWELL ID, 83605-6932, US
Phone (208) 459-0092
Fax (208) 454-7714
Toxanomy
Taxonomy Code 103TP0016X
License State
License Number
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According to our database, Idaho Dept Of Health & Welfare Amhcalpgreg3 NPI is 1104004928, taxonomy code is 103TP0016X Idaho Dept Of Health & Welfare Amhcalpgreg3 physically located at 3402 Franklin Rd, Caldwell ID, 83605-6932. NPI Number 1033115704 has the healthcare provider type.

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1104004928 NPI number is provided on an as is basis without warranty of any kind. 1104004928 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Dept Of Health & Welfare Amhcalpgreg3 are for informational purposes only.