| Atkinson Psychology Llc | |
|
671 E Riverpark Ln Ste 220 Boise ID 83706-6559 | |
| (208) 344-2071 | |
| (208) 344-2075 |
| Full Name | Atkinson Psychology Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 671 E Riverpark Ln Ste 220, Boise, Idaho |
| Authorized Official Name and Position | Lillian Ford (OFFICE MANAGER) |
| Authorized Official Contact | 2083442071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atkinson Psychology Llc 671 E Riverpark Ln Ste 220 Boise ID 83706-6559 Ph: (208) 344-2071 | Atkinson Psychology Llc 671 E Riverpark Ln Ste 220 Boise ID 83706-6559 Ph: (208) 344-2071 |
| NPI Number | 1982106654 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 6901168202 |
|---|---|
| Medicare Enrollment ID | O20180327000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982106654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jacob Atkinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477858785 PECOS PAC ID: 7719249010 Enrollment ID: I20180327000732 |
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