| Sidrah Khan Psychotherapy Pc | |
|
242 N 8th St Suite 200 Boise ID 83702 | |
| (208) 447-9526 | |
| Not Available |
| Full Name | Sidrah Khan Psychotherapy Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 242 N 8th St, Boise, Idaho |
| Authorized Official Name and Position | Sidrah S Khan (OWNER) |
| Authorized Official Contact | 2084479526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidrah Khan Psychotherapy Pc 4714 N Nystrom Pl Boise ID 83713 Ph: () - | Sidrah Khan Psychotherapy Pc 242 N 8th St Suite 200 Boise ID 83702 Ph: (208) 447-9526 |
| NPI Number | 1114419678 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114419678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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