| Northwest Neurobehavioral Health Pllc | |
|
6003 Overland Rd Ste 301 Boise ID 83709-3077 | |
| (208) 672-8699 | |
| (208) 672-9308 |
| Full Name | Northwest Neurobehavioral Health Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6003 Overland Rd Ste 301, Boise, Idaho |
| Authorized Official Name and Position | Trevor Allen Hall (PRESIDENT) |
| Authorized Official Contact | 2086728699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Neurobehavioral Health Pllc 6003 Overland Rd Ste 301 Boise ID 83709-3077 Ph: (208) 672-8699 | Northwest Neurobehavioral Health Pllc 6003 Overland Rd Ste 301 Boise ID 83709-3077 Ph: (208) 672-8699 |
| NPI Number | 1518102797 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518102797 | NPI | - | NPPES |
| 1306914643 | Other | ID | IND NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY202444 (Idaho) | Primary |
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