| Northwest Neurobehavioral Health, Llc | |
|
2950 E Magic View Dr Ste 140 Meridian ID 83642-9273 | |
| (208) 323-9130 | |
| (208) 323-9070 |
| Full Name | Northwest Neurobehavioral Health, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2950 E Magic View Dr Ste 140, Meridian, Idaho |
| Authorized Official Name and Position | Jeremy Evans (BILLING SUPERVISOR) |
| Authorized Official Contact | 2083239130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Neurobehavioral Health, Llc 2950 E Magic View Dr Ste 140 Meridian ID 83642-9273 Ph: (208) 323-9130 | Northwest Neurobehavioral Health, Llc 2950 E Magic View Dr Ste 140 Meridian ID 83642-9273 Ph: (208) 323-9130 |
| NPI Number | 1568766566 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 01/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568766566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY-202444 (Idaho) | Primary |
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