Etnyre, Allison Lee

Etnyre, Allison Lee is an sole proprietor health care provider with primary practice located at 1070 N Curtis Rd Suite 210, Boise ID 83706-1238. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Etnyre, Allison Lee can be contacted via phone (208) 860-0770.

Contact Information

Primary practice address
1070 N Curtis Rd Suite 210 Boise ID 83706-1238
Phone: (208) 860-0770
Fax: (208) 322-0367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202238 Idaho

Profile Details

NPI number 1619001005
LBN Legal business name Etnyre, Allison Lee
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jun 10th, 2008 - about 16 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 1619001005 NPPES
Idaho Other N6135 BLUE CROSS
Idaho Other 000010158559 BLUE CROSS
Idaho MEDICAID 002269500 BLUE CROSS

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