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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SALLY MCCOLLUM, PHD

Active Sole Proprietor

SALLY MCCOLLUM, PHD is a Clinical Psychologist healthcare provider located in KETCHUM, Idaho. NPI 1609984210 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · KETCHUM, ID

Registration Details

NPI Number
1609984210
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2006 (19.935200248021 yrs)
Last Updated
Jan 14, 2015
License
PSY 237 (ID)
Sole Proprietor
Yes

Practice Information

Address
171 W. 1ST ST #1
KETCHUM, ID, 833406078
Browse ID providers · Browse ZIP 83340
Phone
2087268926
Fax
2087268926
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in KETCHUM, ID

Name Credential NPI
DR. LISA A. DAY PHD 1790866366
DR. JOANN SORENTO PH.D. 1902146186
DR. REBECCA GRACE PSY.D. 1164876785
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.