Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL EFTA BREITBACH, PSY D
ActiveJILL EFTA BREITBACH, PSY D is a Clinical Neuropsychologist healthcare provider located in COEUR D ALENE, Idaho. NPI 1487626529 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1487626529
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2006 (20.48557419354 yrs)
- Last Updated
- Jan 9, 2026
- Licenses
-
203499 (ID)203499 (ID)
Practice Information
- Address
-
509 W HANLEY AVE STE 101COEUR D ALENE, ID, 838158994Browse ID providers · Browse ZIP 83815
- Phone
- 2086660357
- Fax
- 2086660468
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.