Brent F. Baldree Ph.d., Inc. | |
2539 Channing Way Suite 260 Idaho Falls ID 83404-7544 | |
(208) 552-3050 | |
Not Available |
Full Name | Brent F. Baldree Ph.d., Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2539 Channing Way, Idaho Falls, Idaho |
Authorized Official Name and Position | Brent F Baldree (PRESIDENT) |
Authorized Official Contact | 2085523050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brent F. Baldree Ph.d., Inc. 2539 Channing Way Suite 260 Idaho Falls ID 83404-7544 Ph: (208) 552-3050 | Brent F. Baldree Ph.d., Inc. 2539 Channing Way Suite 260 Idaho Falls ID 83404-7544 Ph: (208) 552-3050 |
NPI Number | 1275705410 |
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Provider Enumeration Date | 03/27/2008 |
Last Update Date | 03/27/2008 |
Identifier | Type | State | Issuer |
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1275705410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY377 (Idaho) | Primary |
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