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264 Main Ave S Twin Falls ID 83301-6232 | |
| (208) 772-4935 | |
| (208) 734-3534 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 264 Main Ave S, Twin Falls, Idaho |
| Authorized Official Name and Position | Frank J. Knight (CEO) |
| Authorized Official Contact | 2089345880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
215 University Dr Gooding ID 83330-6155 Ph: (208) 934-5880 | 264 Main Ave S Twin Falls ID 83301-6232 Ph: (208) 772-4935 |
| NPI Number | 1427170133 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427170133 | NPI | - | NPPES |
| 8062720 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Primary |
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