| Rachel Root Phd Lp Llc | |
|
671 E Riverpark Ln Ste 220 Boise ID 83706 | |
| (208) 344-2071 | |
| (208) 344-2075 |
| Full Name | Rachel Root Phd Lp Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 671 E Riverpark Ln Ste 220, Boise, Idaho |
| Authorized Official Name and Position | Rachel Anne Root (PRESIDENT) |
| Authorized Official Contact | 2083442071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Root Phd Lp Llc 671 E Riverpark Ln Ste 220 Boise ID 83706-6559 Ph: (208) 344-2071 | Rachel Root Phd Lp Llc 671 E Riverpark Ln Ste 220 Boise ID 83706 Ph: (208) 344-2071 |
| NPI Number | 1801148077 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801148077 | NPI | - | NPPES |
| 1710279807 | Other | ID | INDIVIDUAL - TYPE I NPI |
| 12239758 | Other | ID | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY-202658 (Idaho) | Primary |
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