| Boise Brain Health | |
|
4696 W Overland Rd Ste 228 Boise ID 83705-2864 | |
| (208) 917-1692 | |
| (208) 914-7643 |
| Full Name | Boise Brain Health |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4696 W Overland Rd Ste 228, Boise, Idaho |
| Authorized Official Name and Position | Sarah D Marion (MANAGING MEMBER) |
| Authorized Official Contact | 2089171692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Brain Health 4696 W Overland Rd Ste 228 Boise ID 83705-2864 Ph: (208) 917-1692 | Boise Brain Health 4696 W Overland Rd Ste 228 Boise ID 83705-2864 Ph: (208) 917-1692 |
| NPI Number | 1790241404 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 02/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790241404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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