Phillips Agency, Inc

NPI 1053444604 - Psychologist - 103T00000X

NPI Details
NPI 1053444604
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAMES R JAMES
Position LICENSED PSYCHOLOGIST
Phone (208) 746-7266
Fax (208) 798-5169
Practice Location
532 BRYDEN AVE
LEWISTON ID, 83501-4445, US
Phone (208) 746-7266
Fax (208) 798-5169
Business Location
532 BRYDEN AVE
LEWISTON ID, 83501-4445, US
Phone (208) 746-7266
Fax (208) 798-5169
Toxanomy
Taxonomy Code 103T00000X
License State Idaho
License Number PSY-305
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According to our database, Phillips Agency, Inc NPI is 1053444604, taxonomy code is 103T00000X and license number is PSY-305, license state is located at Idaho. Phillips Agency, Inc physically located at 532 Bryden Ave, Lewiston ID, 83501-4445. NPI Number 1033115704 has the healthcare provider type.

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1053444604 NPI number is provided on an as is basis without warranty of any kind. 1053444604 is maintained by the National Plan & Provider Enumeration System. The contents of Phillips Agency, Inc are for informational purposes only.