| Behavioral Health Solutions P A | |
|
Of Psychology And Communication Studies University Of Idaho Moscow ID 83844-3043 | |
| (208) 885-7376 | |
| Not Available |
| Full Name | Behavioral Health Solutions P A |
|---|---|
| Speciality | Psychologist |
| Location | Of Psychology And Communication Studies, Moscow, Idaho |
| Authorized Official Name and Position | Mark F Yama (PRESIDENT) |
| Authorized Official Contact | 2088857376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Solutions P A Of Psychology And Communication Studies University Of Idaho Moscow ID 83844-3043 Ph: (208) 885-7376 | Behavioral Health Solutions P A Of Psychology And Communication Studies University Of Idaho Moscow ID 83844-3043 Ph: (208) 885-7376 |
| NPI Number | 1497965578 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6709975667 |
|---|---|
| Medicare Enrollment ID | O20071130000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497965578 | NPI | - | NPPES |
| 8060033 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-3536 (Idaho) | Primary |
| 103T00000X | Psychologist | PSY-204 (Idaho) | Primary |
| Provider Name | Mark F Yama |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215062179 PECOS PAC ID: 5193718690 Enrollment ID: I20040408000075 |
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