| Joanne Burgio Phd Llc | |
|
943 W Overland Rd Meridian ID 83642-6541 | |
| (208) 519-9102 | |
| (208) 550-3483 |
| Full Name | Joanne Burgio Phd Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 943 W Overland Rd, Meridian, Idaho |
| Authorized Official Name and Position | Joanne Burgio (OWNER/PROVIDER) |
| Authorized Official Contact | 2085199102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Burgio Phd Llc 943 W Overland Rd Meridian ID 83642-6541 Ph: (208) 519-9102 | Joanne Burgio Phd Llc 943 W Overland Rd Meridian ID 83642-6541 Ph: (208) 519-9102 |
| NPI Number | 1437621646 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437621646 | NPI | - | NPPES |
| 1396852083 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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