Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY PETRINO, PSY.D
ActiveDR. KELLY PETRINO, PSY.D is a Clinical Psychologist healthcare provider located in BOISE, Idaho. NPI 1861784068 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BOISE, ID
Registration Details
- NPI Number
- 1861784068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2011 (15.261006889411 yrs)
- Last Updated
- May 11, 2022
- Licenses
-
18071 (MT)505 (WY)203518 (ID)
Practice Information
- Address
-
3350 W AMERICANA TER STE 210BOISE, ID, 837062546Browse ID providers · Browse ZIP 83706
- Phone
- 4068805568
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. A JOSEPH SALAIS | PH.D. | 1700889466 |
| DR. JOSEPH AL LIPETZKY | PSY. D. | 1467440065 |
| DR. STEVEN L MEHARRY | PSY. D. | 1720076326 |
| DR. ROBERT TODD BENNETT | PH.D. | 1962490474 |
| DR. JASON DONALD GAGE | PH.D. | 1548250699 |
| MR. JEFFREY MORRIS SHEPARD | PHD | 1558317636 |
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.