Daley, Imelda

Daley, Imelda is an individual health care provider with primary practice located at 422 17Th St , Lewiston ID 83501-2526. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Daley, Imelda can be contacted via phone (208) 743-4680.

Contact Information

Primary practice address
422 17Th St Lewiston ID 83501-2526
Phone: (208) 743-4680
Fax: (208) 743-1756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760475347
LBN Legal business name Daley, Imelda
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 9th, 2007 - about 18 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 1760475347 NPPES
Idaho Other X5937 BLUE CROSS OF IDAHO

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