Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MCCANN DEIDRICK, PHD
ActiveClinical Psychologist · BOISE, ID
Registration Details
- NPI Number
- 1891742540
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2006 (19.949787954787 yrs)
- Last Updated
- Feb 21, 2014
- Licenses
-
2003023860 (MO)PSY202777 (ID)
Practice Information
- Address
-
100 E IDAHO STSTE 200BOISE, ID, 837126267Browse ID providers · Browse ZIP 83712
- Phone
- 2083815000
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- 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.