| Kendra Westerhaus Phd Llc | |
|
200 S Main St Ste M3 Pocatello ID 83204-3261 | |
| (814) 777-1375 | |
| Not Available |
| Full Name | Kendra Westerhaus Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 200 S Main St Ste M3, Pocatello, Idaho |
| Authorized Official Name and Position | Kendra Westerhaus (OWNER) |
| Authorized Official Contact | 8147771375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Westerhaus Phd Llc 200 S Main St Ste M3 Pocatello ID 83204-3261 Ph: (814) 777-1375 | Kendra Westerhaus Phd Llc 200 S Main St Ste M3 Pocatello ID 83204-3261 Ph: (814) 777-1375 |
| NPI Number | 1689529620 |
|---|---|
| Provider Enumeration Date | 03/04/2026 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689529620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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