Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON SOUTHWICK, PH.D.
ActiveJASON SOUTHWICK, PH.D. is a Clinical Neuropsychologist healthcare provider located in BOISE, Idaho. NPI 1538412382 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · BOISE, ID
Registration Details
- NPI Number
- 1538412382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2012 (13.779411955021 yrs)
- Last Updated
- May 18, 2024
- Licenses
-
PSY - 202728 (ID)PSY - 202728 (ID)
Practice Information
- Address
-
1055 N CURTIS RDBOISE, ID, 837061309Browse ID providers · Browse ZIP 83706
- Phone
- 2083672121
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
Other Clinical Neuropsychologist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DANAE PEREZ-CAHILL | PH.D. | 1780612986 |
| DR. HAROLD DALE PATTERSON | PH.D. | 1962414631 |
| MR. ROBERT F. CALHOUN | PHD | 1376697946 |
| CRAIG W. BEAVER | PH.D. | 1225176498 |
| DR. ELENA THERESSA HARLAN DREWEL | PH.D. | 1538490834 |
| BRIENNE M DYER | PSY.D. | 1659631562 |
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.