| Daniel S Hayes 401k | |
|
2190 W Ironwood Center Dr Ste 2 Coeur D Alene ID 83814-2695 | |
| (208) 666-0357 | |
| (208) 666-0468 |
| Full Name | Daniel S Hayes 401k |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2190 W Ironwood Center Dr Ste 2, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Daniel S Hayes (OWNER) |
| Authorized Official Contact | 2086660357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel S Hayes 401k 2190 W Ironwood Center Dr Ste 2 Coeur D Alene ID 83814-2695 Ph: (208) 666-0357 | Daniel S Hayes 401k 2190 W Ironwood Center Dr Ste 2 Coeur D Alene ID 83814-2695 Ph: (208) 666-0357 |
| NPI Number | 1831282847 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831282847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY202250 (Idaho) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY244 (Idaho) | Primary |
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Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814 Phone: 208-769-1406 Fax: 208-769-1430 | |
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