Haviland, Virginia Page

Haviland, Virginia Page is an individual health care provider with primary practice located at 4424 E Flamingo Ave Ste 310 , Nampa ID 83687-9306. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Haviland, Virginia Page can be contacted via phone (208) 302-3760.

Contact Information

Primary practice address
4424 E Flamingo Ave Ste 310 Nampa ID 83687-9306
Phone: (208) 302-3760
Fax: (208) 302-3768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 292 Idaho

Profile Details

NPI number 1235148131
LBN Legal business name Haviland, Virginia Page
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jan 4th, 2022 - about 4 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 1235148131 NPPES
Idaho Other 76372 BLUE CROSS OF IDAHO
Idaho Other 000010153284 BLUE CROSS OF IDAHO
Idaho Other 203644829 BLUE CROSS OF IDAHO

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