| Dr Carol V Anderson, PHD | |
|
2060 E 25th St, Idaho Falls, ID 83404-6490 | |
| (208) 522-3404 | |
| Not Available |
| Full Name | Dr Carol V Anderson |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 2060 E 25th St, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396878401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-202288 (Idaho) | Primary |
| Entity Name | Psychology Center Of Idaho Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780010090 PECOS PAC ID: 1658699145 Enrollment ID: O20150413002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carol V Anderson, PHD 2060 E 25th St, Idaho Falls, ID 83404-6490 Ph: (208) 522-3404 | Dr Carol V Anderson, PHD 2060 E 25th St, Idaho Falls, ID 83404-6490 Ph: (208) 522-3404 |
Melinda L Jorgensen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3417 Merlin Dr, Ste 102, Idaho Falls, ID 83404 Phone: 208-552-0850 Fax: 208-529-5011 | |
Jared Thomas John, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404 Phone: 208-419-3002 Fax: 208-656-5652 | |
Dr. Kelli M Bishop, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-1130 | |
Kimberly Sue Kelly, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 630 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-535-0505 | |
Ben L Walters, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2871 Agnes St, Idaho Falls, ID 83402 Phone: 208-270-2716 | |
Dr. Rosa Maria Mulser, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1710 Woodruff Park Salon Suites, Suite 1, Idaho Falls, ID 83401 Phone: 208-888-8873 | |
Kelly S Davis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1795 W Broadway St # 125, Idaho Falls, ID 83402 Phone: 414-759-9678 |