Psychology Services Of Idaho, Pllc

LBN: Psychology Services Of Idaho, Pllc
Psychology Services Of Idaho, Pllc is an health care organization with primary practice located at 2365 E Gala St Suite #2, Meridian ID 83642-4881. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Psychology Services Of Idaho, Pllc can be contacted via phone (208) 288-1920, or through Champion, Jamie via phone (208) 288-1920.

Contact Information

Primary practice address
2365 E Gala St Suite #2 Meridian ID 83642-4881
Phone: (208) 288-1920
Fax: (208) 288-2844
Website:
Map and Directions
Authorized official contact:
Name: Champion, Jamie PHD
Phone: (208) 288-1920

Health care specialties

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

Profile Details

NPI number 1437219227
LBN Legal business name Psychology Services Of Idaho, Pllc
DBA Doing business as
Authorized official Champion, Jamie PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437219227 NPPES
Idaho Other 7503219 AETNA

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