| Katelyn Schwennen Pllc | |
|
112 Shoshone St E Ste 210 Twin Falls ID 83301-6185 | |
| (208) 802-7780 | |
| Not Available |
| Full Name | Katelyn Schwennen Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 112 Shoshone St E Ste 210, Twin Falls, Idaho |
| Authorized Official Name and Position | Katelyn Mary Schwennen (OWNER/PROVIDER) |
| Authorized Official Contact | 2088027780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Schwennen Pllc 112 Shoshone St E Ste 210 Twin Falls ID 83301-6185 Ph: (208) 802-7780 | Katelyn Schwennen Pllc 112 Shoshone St E Ste 210 Twin Falls ID 83301-6185 Ph: (208) 802-7780 |
| NPI Number | 1972287399 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972287399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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