Dr Colleen Gray Klabo, PSYD is a
Psychologist based in Meridian, Idaho. Dr Colleen Gray Klabo is licensed to practice in Idaho (license number PSY-202666) and her current practice location is
2076 S Eagle Rd, Meridian, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 955-7340.
NPI number for Dr Colleen Gray Klabo is 1679741490 and her current mailing address is 1410 W Camel Back Ln, #127, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679741490.
Healthcare Provider's Profile
| Full Name | Dr Colleen Gray Klabo |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 2076 S Eagle Rd, Meridian, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679741490
- Provider Enumeration Date: 02/14/2008
- Last Update Date: 04/26/2013
Medical Identifiers
Medical identifiers for Dr Colleen Gray Klabo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679741490 | NPI | - | NPPES |
| 1679741490 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY-202666 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Colleen Gray Klabo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Colleen Gray Klabo, PSYD
1410 W Camel Back Ln, #127,
Boise, ID 83702-6567
Ph: (206) 817-4163 | Dr Colleen Gray Klabo, PSYD
2076 S Eagle Rd,
Meridian, ID 83642-6707
Ph: (208) 955-7340 |
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