| Alpine Ridge Psychological Services Pllc | |
|
1464 N 805 E Shelley ID 83274-5049 | |
| (208) 728-7750 | |
| (208) 728-7750 |
| Full Name | Alpine Ridge Psychological Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1464 N 805 E, Shelley, Idaho |
| Authorized Official Name and Position | Michael Robert Thomas (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2087287750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Ridge Psychological Services Pllc 2184 Channing Way # 119 Idaho Falls ID 83404-8034 Ph: (208) 728-7750 | Alpine Ridge Psychological Services Pllc 1464 N 805 E Shelley ID 83274-5049 Ph: (208) 728-7750 |
| NPI Number | 1942090865 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Certification Date | 05/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942090865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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