Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDAHO PSYCHOLOGICAL RESOURCES LLC
Active OrganizationIDAHO PSYCHOLOGICAL RESOURCES LLC is a Social Worker organization located in MACKAY, Idaho. NPI 1063918464 is currently active in the NPPES registry. Verify at CMS.
Social Worker · MACKAY, ID
Registration Details
- NPI Number
- 1063918464
- Provider Type
- Organization
- NPI Issued
- Apr 4, 2018 (8.359049877554 yrs)
- Last Updated
- Jun 21, 2021
- Licenses
-
LPC-3661 (ID)LCSW-27821 (ID)
Practice Information
- Address
-
4433 BEVERLAND ROADMACKAY, ID, 83251Browse ID providers · Browse ZIP 83251
- Phone
- 2085885770
- Fax
- 2085882984
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.