Boise Brain Health | |
4696 W Overland Rd Ste 228 Boise ID 83705-2864 | |
(208) 917-1692 | |
(208) 914-7643 |
Full Name | Boise Brain Health |
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Speciality | Clinical Neuropsychologist |
Location | 4696 W Overland Rd Ste 228, Boise, Idaho |
Authorized Official Name and Position | Sarah D Marion (MANAGING MEMBER) |
Authorized Official Contact | 2089171692 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boise Brain Health 4696 W Overland Rd Ste 228 Boise ID 83705-2864 Ph: (208) 917-1692 | Boise Brain Health 4696 W Overland Rd Ste 228 Boise ID 83705-2864 Ph: (208) 917-1692 |
NPI Number | 1790241404 |
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Provider Enumeration Date | 02/18/2019 |
Last Update Date | 02/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790241404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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