Potthast, Alice Faye

Potthast, Alice Faye is an individual health care provider with primary practice located at 647 Filer Ave , Twin Falls ID 83301-4008. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Potthast, Alice Faye can be contacted via phone (208) 737-9999.

Contact Information

Primary practice address
647 Filer Ave Twin Falls ID 83301-4008
Phone: (208) 737-9999
Fax: (208) 736-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-2899 Idaho

Profile Details

NPI number 1871641324
LBN Legal business name Potthast, Alice Faye
Credentials M. ED., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1871641324 NPPES
Idaho Other 000010156782 REGENCE BLUE SHIELD OF ID
Idaho Other 000010156783 REGENCE BLUE SHIELD OF ID

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