| North Idaho Neurotherapy Llc | |
|
1009 Highway 2 Sandpoint ID 83864-2712 | |
| (208) 255-6057 | |
| Not Available |
| Full Name | North Idaho Neurotherapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1009 Highway 2, Sandpoint, Idaho |
| Authorized Official Name and Position | Linda Larson (OWNER) |
| Authorized Official Contact | 2082556057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Idaho Neurotherapy Llc 217 Cedar St # 177 Sandpoint ID 83864-1410 Ph: () - | North Idaho Neurotherapy Llc 1009 Highway 2 Sandpoint ID 83864-2712 Ph: (208) 255-6057 |
| NPI Number | 1487310702 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487310702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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