Book, Phares L

Book, Phares L is an sole proprietor health care provider with primary practice located at 815 Fillmore St , Caldwell ID 83605-4126. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Book, Phares L can be contacted via phone (208) 459-6962.

Contact Information

Primary practice address
815 Fillmore St Caldwell ID 83605-4126
Phone: (208) 459-6962
Fax: (208) 459-4476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 202193 Idaho

Profile Details

NPI number 1386660678
LBN Legal business name Book, Phares L
Credentials PSY.D,LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jan 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386660678 NPPES
Idaho MEDICAID 807284400

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