Accessible Wellness | |
1070 Hiline Rd Ste 250 Pocatello ID 83201-2955 | |
(208) 742-6400 | |
(208) 742-6444 |
Full Name | Accessible Wellness |
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Speciality | Psychologist |
Location | 1070 Hiline Rd Ste 250, Pocatello, Idaho |
Authorized Official Name and Position | Debra L Aubrey (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 2087426400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Accessible Wellness 1070 Hiline Rd Ste 250 Pocatello ID 83201-2955 Ph: (208) 742-6400 | Accessible Wellness 1070 Hiline Rd Ste 250 Pocatello ID 83201-2955 Ph: (208) 742-6400 |
NPI Number | 1932845781 |
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Provider Enumeration Date | 05/05/2022 |
Last Update Date | 10/03/2022 |
Certification Date | 10/03/2022 |
Medicare PECOS PAC ID | 4880061795 |
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Medicare Enrollment ID | O20221107001742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932845781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Debra L Aubrey |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063424448 PECOS PAC ID: 8022303544 Enrollment ID: I20160823002469 |
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