Faraday, Darla Jane

Faraday, Darla Jane is an individual health care provider with primary practice located at 111 E 16Th St , Idaho Falls ID 83404-5919. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Faraday, Darla Jane can be contacted via phone (208) 523-1130.

Contact Information

Primary practice address
111 E 16Th St Idaho Falls ID 83404-5919
Phone: (208) 523-1130
Fax: (208) 529-6501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY-202441 Idaho

Profile Details

NPI number 1659522365
LBN Legal business name Faraday, Darla Jane
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Jan 3rd, 2017 - about 8 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 1659522365 NPPES
Idaho MEDICAID 808091400

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