Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BIG LAKE PSYCHOLOGICAL SERVICES, PC
Active OrganizationBIG LAKE PSYCHOLOGICAL SERVICES, PC is a Child, Clinical Psychologist organization located in COEUR D ALENE, Idaho. NPI 1508100876 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1508100876
- Provider Type
- Organization
- NPI Issued
- Nov 26, 2012 (13.744827808502 yrs)
- Last Updated
- Jul 27, 2020
- License
-
PSY-202671 (ID)
Practice Information
- Address
-
1809 E SHERMAN AVECOEUR D ALENE, ID, 838145873Browse ID providers · Browse ZIP 83814
- Phone
- 2086659611
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.