Southwick, Jason

Southwick, Jason is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Southwick, Jason can be contacted via phone (208) 367-2121.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1309
Phone: (208) 367-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY - 202728 Idaho
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY - 202728 Idaho

Profile Details

NPI number 1538412382
LBN Legal business name Southwick, Jason
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated May 18th, 2024 - about last year

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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