Eric Everson, PHD is a
Psychologist - Clinical based in Boise, Idaho. Eric Everson is licensed to practice in Idaho (license number PSY-202920) and his current practice location is
500 W Fort St, B114, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 422-1108.
NPI number for Eric Everson is 1104258318 and his current mailing address is 500 W Fort St, B114, Boise, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104258318.
Healthcare Provider's Profile
| Full Name | Eric Everson |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 500 W Fort St, Boise, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104258318
- Provider Enumeration Date: 07/30/2013
- Last Update Date: 05/02/2016
Medical Identifiers
Medical identifiers for Eric Everson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104258318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC - 5380 (Idaho) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-202920 (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. Eric Everson 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 |
|---|
Eric Everson, PHD
500 W Fort St, B114,
Boise, ID 83702-4501
Ph: (208) 422-1108 | Eric Everson, PHD
500 W Fort St, B114,
Boise, ID 83702-4501
Ph: (208) 422-1108 |
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